Age-related macular degeneration (AMD)

Age-related macular degeneration (AMD) is a common eye condition that affects the macula, the part of the retina responsible for central vision. AMD is primarily associated with aging, and it can lead to loss of central vision, making tasks such as reading, driving, and recognizing faces difficult. For medical advice or diagnosis, consult a professional.

1. Types of AMD:

  • Dry AMD (Atrophic AMD): This is the more common form, characterized by the gradual thinning of the macula, leading to slow vision loss.
  • Wet AMD (Neovascular AMD): Less common but more severe, involving the growth of abnormal blood vessels under the retina that can leak fluid or blood, leading to rapid vision loss.

2. Symptoms of AMD:

  • Blurry or wavy central vision
  • Difficulty seeing in low-light conditions
  • Decreased ability to read or recognize faces
  • Dark or empty areas in the center of vision

3. Risk Factors:

  • Age (usually over 50)
  • Genetics/family history
  • Smoking
  • Hypertension (high blood pressure)
  • Obesity
  • Light-colored eyes
  • Poor diet (low in antioxidants and omega-3 fatty acids)

4. Diagnosis of AMD:

  • Eye Exam: Routine tests by an eye specialist (ophthalmologist or optometrist).
  • Amsler Grid Test: A simple test that checks for vision distortions associated with AMD.
  • Optical Coherence Tomography (OCT): A scan that creates detailed images of the retina.
  • Fluorescein Angiography: A dye is injected into the bloodstream, and a camera takes pictures of blood vessels in the retina.

5. Treatment Options:

  • For Dry AMD: Currently, no FDA-approved treatments to reverse the condition, but supplements (vitamins C, E, zinc, and beta-carotene) may slow progression.
  • For Wet AMD: Anti-VEGF injections (vascular endothelial growth factor inhibitors) to reduce abnormal blood vessel growth.
  • Laser Therapy: Used in some cases to destroy leaking blood vessels (though less common now due to anti-VEGF treatments).
  • Photodynamic Therapy (PDT): A treatment that uses a light-activated drug to target and destroy abnormal blood vessels.

6. Prevention and Management:

  • Lifestyle changes: Stop smoking, manage weight, control blood pressure, and avoid excessive sun exposure.
  • Dietary changes: A diet rich in leafy greens, fish (especially omega-3 fatty acids), and fruits.
  • Supplements: High doses of antioxidants and zinc have shown some benefit in slowing progression, especially in intermediate AMD.
  • Regular eye exams: Early detection is crucial for managing the condition before significant vision loss occurs.

7. Prognosis

  • AMD generally does not lead to complete blindness but can severely affect quality of life by impairing central vision.
  • The progression varies some people experience only mild vision loss, while others may experience rapid deterioration.

This is for informational purposes only. For medical advice or diagnosis, consult a professional.
It’s important to have your eyes checked regularly by a qualified eye care professional.