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Optometrists Cary NC

 

Cary Family Eye Care
10110 Green Level Church Rd
Suite 102, Cary, NC 27519
(919) 465-7400

 
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Macular Degeneration - Overview

Macular degeneration is a chronic, progressive disease that gradually destroys sharp central vision. It affects up to 10 million Americans and is so commonly associated with aging that it is also known as "age-related macular degeneration," or AMD.

The leading cause of vision loss in those older than age 50, AMD occurs due to a deterioration of the macula, a tiny spot in the central portion of your retina comprised of millions of light-sensing cells that help produce central or "straight-ahead" vision.

 

As you age, these light-sensitive photoreceptors in the macula – the Latin word for "spot" – become thin, worn or damaged and covered with tiny hyaline deposits known as drusen. This can cause objects directly in front of you to appear blurry and lack in detail; AMD doesn’t affect peripheral (side) vision. There may be a fuzzy "hole" in vision, or a central area of distortion.

 
There are two types of AMD:
 
Dry macular degeneration occurs because of a thinning in the tissues in the macula and a dysfunction in the light-sensitive cells. This initially produces subtle vision loss, such as a fuzzy appearance of objects and eventually blank spots over the eye’s central vision. Dry AMD causes about 90 percent of cases.
 
Wet macular degeneration is characterized by the development of abnormal blood vessels in the area between your retina and a layer of supporting tissues behind it, called choroid tissue. As these blood vessels leak fluid, they damage retinal cells. Over the course of days or weeks, scar tissue forms, creating a blind spot in the center of your vision. Although wet AMD occurs in only about 10 percent of cases, it's responsible for nearly 90 percent of severe vision loss from this disease.

What causes these changes is unclear, but age and heredity appear to be the main culprits, although gender and race also play a role. Women are more likely than men to get AMD and it affects about one in nine Caucasians between ages 65 to 74 and approximately one in four older than age 75 but is uncommon in Asians, African-Americans, Americans Indians and other groups. Other major risk factors include long-term exposure to ultraviolet and blue light, and smoking. Certain nutritional factors also appear to play a role.

 
Macular Degeneration- Symptoms

AMD usually develops gradually and painlessly. Symptoms of the disease tend to vary, depending on the type of macular degeneration you develop.
 

In dry AMD, you may notice:
A gradual haziness in vision
A "grayness" in vision and colors appearing to be more dim
A blind spot in the center of your visual field
Printed words becoming increasingly blurry
In advanced cases, faces and printed words may become hard to recognize
In wet AMD, you may notice:
Visual distortions, such as straight lines appearing wavy
Sudden, decreased central vision
 
Macular Degeneration - Prevention
Although you cannot change your genetic makeup or stop the effects of aging, there are steps you can take that may increase your chances of preventing AMD or keep it from advancing:

Eat healthy. A diet rich in fruits, vegetables and other foods containing antioxidant vitamins A, C and E is believed to help prevent AMD. Good sources of these nutrients include deep green, yellow and orange produce such as cabbage, broccoli, spinach, squash, cantaloupe, mango and sweet potatoes. Some researchers also suspect that food containing lutein and zeaxanthin — found in high concentrations in egg yolks, corn and spinach — may be beneficial. Many experts recommend at least five pieces or servings of produce each day. And some research suggests that zinc-rich foods such as oysters, fish and legumes may also offer a protective effect.

Consider vitamin supplements. In addition to eating well to help prevent AMD, those diagnosed with the disease may lower their risk of advanced AMD by taking vitamin supplements. In the National Eye Institute’s Age Related Eye Disease Study (AREDS), researchers found that that people at high risk of developing advanced stages of AMD lowered their risk by about 25 percent when they consumed a daily supplement rich in vitamins C and E, beta-carotene and zinc. The specific dosages used in the study exceed the recommended daily allowance and what is in most multi-vitamin formulas, so consult with your doctor before starting this or any vitamin therapy. Be aware that high levels of beta-carotene are not recommended for smokers, so the AREDS formulation should be modified for these patients.

The doctors at Cary Family Eye Care recommend Science Based Health’s Macular Protect Complete for patients with at least moderate macular degeneration. For smokers with the disease there is another product, Macular Protect Complete-S, that removes the beta-carotene from the formulation.

Wear sunglasses when outdoors to help block out harmful ultraviolet rays. Orange, yellow, or amber-tinted lenses can filter out both ultraviolet and blue light that may damage your retina.
Quit smoking. Smokers are two to three times more likely to develop AMD compared to non-smokers.
Get regular eye exams. Early detection of macular degeneration is the key to preventing serious vision loss. If you're older than age 50, eye exams generally are recommended every year – especially if you have a family history of AMD.

 

 

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