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Facts about Macular Degeneration Vision Loss

Macular degeneration vision loss is the most common cause of vision loss in adults over the age of 65. The condition affects the retina, specifically the cells in the macula, which performs many important eye tasks. Ultimately, macular degeneration leads to an increasing loss of central vision.

Macular Degeneration Vision

In this blog, we’ll examine what macular degeneration looks like, including the stages of degeneration and early warning signs, and we’ll go over some potential treatment options as well.

What Does Macular Degeneration Vision Look Like?

Normal Vision

This first image illustrates what it looks like when our eyes are functioning normally and the center of our vision is crisp and clear.

AMD normal vision

Early Dry Macular Degeneration

The early stage of dry macular degeneration is difficult to notice initially, particularly if the condition only affects one eye. However, it can be detected by a specialist during a dilated eye exam. Essentially, this is the stage during which the cells in the eye’s macula begin to sicken, and small parts of the central vision become blurred, as seen in the image.

Dry AMD Vision

Early Signs of Macular Degeneration

Some of the early signs of macular degeneration include:

  • Gradual blurring of the central vision
  • Waviness of straight lines, such as light poles or the edges of doorways
  • Needing brighter light when reading
  • Difficulty adjusting to low light levels when entering places like restaurants or movie theaters
  • Blurriness of the printed word
  • Difficulty in recognizing faces
  • Noticeable blurriness or a blind spot in the field of vision

Intermediate Dry Macular Degeneration

During the progression of macular degeneration vision loss, the blurring gets worse, and those blurred areas increase in size, becoming blind spots called scotomas. It may also become difficult to tell the difference between shades of the same color.

Late Dry Macular Degeneration

Also known as geographic atrophy, this is the stage when the macula begins to die, and large portions of the central vision become blurred. Visual distortions and blind spots increase in the field of vision, and in some cases, the condition progresses to wet macular degeneration.

Wet Macular Degeneration

A common question for those affected by the condition is: “How long does it take to lose vision with macular degeneration?”

The answer depends on whether you have dry or wet macular degeneration. Wet macular degeneration is when blood vessels grow and leak under the retina. In the early stages, the new vessels may cause the retina to bulge or pucker, resulting in a “twisting” of the vision that resembles looking into a curved mirror.

Late Wet Macular Degeneration

In the late stage of wet macular degeneration (which progresses much more quickly than dry macular degeneration), abnormal blood vessel growth causes serum and blood to leak into the retina, which—as seen in the image—causes extreme waviness and blind spots in the field of vision.

Wet AMD vision

Cause of Macular Degeneration Vision Loss

The exact cause of macular degeneration is not known, although some risk factors include:

  • Age – People over 60 are most at risk of the disease
  • Genetics – Research has identified a hereditary component in some people
  • Race – The condition is more common in white people
  • Smoking – Smoking tobacco greatly increases the risk
  • Obesity – Obesity increases the likelihood that macular degeneration progresses to a more severe form
  • Cardiovascular disease – Heart or blood vessel disease puts you at a higher risk of developing the condition

Treatment of Macular Degeneration

The damage from  macular degeneration can’t be reversed, but treatments may be able to slow the progression and even preserve existing vision if started early enough:

Dry Macular Degeneration Treatment – For those who’ve retained peripheral vision, low-vision rehabilitation can aid the eye in adapting to the changes. Also, consuming antioxidants, minerals, and vitamins, such as those found in fruits and vegetables, can help reduce vision loss at this stage. In some cases, a telescopic lens implant can improve a narrowed field of vision.

Wet Macular Degeneration Treatment – At this stage, treatment aims to decrease the leakage from abnormal blood vessels, which can be done with medication injected into the eye. Laser treatments are also sometimes used. In either case, treatments will need to be repeated over time.

The Importance of Regular Eye Exams

The best way to minimize the effects of macular degeneration is to have regular screenings by an eye specialist. The physicians and surgeons at Mid-Atlantic Retina are board-certified members of the medical staff at the world-renowned Wills Eye Hospital. Our areas of specialization include macular degeneration, and we have helped develop the latest in cutting-edge treatments.

If you’d like to schedule an appointment with a recognized leader in the field of ophthalmology, reach out to learn more about our services today!