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Optometrists Cary NC |
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Cary Family Eye Care
10110 Green Level Church Rd
Suite 102, Cary, NC 27519
(919) 465-7400 |
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| Macular Degeneration -
Overview |
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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. |
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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. |
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There are two types of AMD: |
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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. |
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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. |
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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. |
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Macular Degeneration-
Symptoms |
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AMD usually develops
gradually and painlessly. Symptoms of the
disease tend to vary, depending on the type of
macular degeneration you develop.
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In dry AMD, you may notice: |
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A gradual haziness
in vision |
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A "grayness" in
vision and colors appearing to be
more dim |
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A blind spot in the
center of your visual field |
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Printed words
becoming increasingly blurry |
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In advanced cases,
faces and printed words may become
hard to recognize |
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In wet AMD, you may notice: |
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Visual distortions,
such as straight lines appearing
wavy |
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Sudden, decreased
central vision |
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Macular Degeneration -
Prevention |
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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: |
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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. |
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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. |
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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. |
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Quit smoking.
Smokers are two to three times more
likely to develop AMD compared to
non-smokers. |
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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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