Macular Degeneration
is deterioration of the macula, which is the critical area within the
retina for fine detailed vision and color vision. When macula degeneration
arises, central vision is usually affected. This onset is heralded by
central distortion, blurry vision, and central visual field defects.
Macular degeneration does not result in complete blindness, but rather
an inability to read or drive. Several forms of macular degeneration
exist, and everyone as we age manifest some form. The two most common
forms are "dry" and "wet" form.
"Dry" or atrophic macular degeneration consists of pigment
changes within the macula as well as deposits of metabolic by-products
called drusen. Macular degeneration is usually detected by your eye
physician during routine evaluations consisting of vision screening,
stereoscopic view of the macula with special lenses, as well as photographs
and fluorescein angiography.
Fluorescein angiography is a diagnostic procedure utilizing a special
filtered camera with a mineral-based intravenous dye to view the extent
of macular degeneration involving "leakage" from blood vessels.
Leakage from blood vessels with macular degeneration results in the
"wet" form of macular degeneration, which accounts for 10%
of all cases of macular degeneration. Certain forms of the "wet"
form may be treated with various types of laser including conventional
and photodynamic laser. Your retina specialist will discuss the differences
between each and which if any applies to your case. Recent studies have
suggested potential benefit for nutritional supplements (ie beta-carotene,
vitamin C/E, and zinc) in preventing progression and visual loss from
certain "dry" forms of macular degeneration. Be sure to discuss
with your retina specialist the dosages and if you qualify for this
recommendation. Unfortunately no cure exists for macular degeneration
despite ongoing research, and in certain cases vision loss is inevitable.
Click below for a Macular Degeneration presentation by Dr. Syrquin.
Click here for the video on Macular Degeneration
Click here for a smaller video