Treatment FAQ

what treatment for macular degeneration

by Sandy Herman Published 3 years ago Updated 2 years ago
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Currently, there is no treatment for dry age-related macular degeneration, though vision rehabilitation programs and low-vision devices can be used to build visual skills, develop new ways to perform daily living activities and adjust to living with age-related macular degeneration.

Medication

SUNDAY, Feb. 6, 2022 (HealthDay News) -- Early diagnosis and care can often stop the progression of age-related macular degeneration (AMD), which is ... it may be a sign of AMD. Or you can use an Amsler grid, which has black lines on a white piece of ...

Therapy

Options might include:

  • reading lamps
  • brighter lights for your office/workspace
  • larger texts on paper and screens
  • audiobooks
  • computer programs that read texts aloud
  • smart tablets
  • keyboards and phones with larger buttons
  • portable, handheld magnifying glasses
  • video magnifiers
  • bold, thick markers for taking notes so you can read them more easily

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Self-care

Macular degeneration treatment is possible in the form of medications like anti-VEGF therapy to prevent the further damage to your eye but that just slows the destruction of the eye.

Nutrition

Macular degeneration prevention

  1. Stop smoking. Probably the number one way to prevent AMD is to stop smoking or not smoke in the first place. ...
  2. Eat plenty of greens to prevent AMD. Eating plenty of dark, leafy greens may help with macular degeneration prevention. ...
  3. Take a daily multivitamin supplement. ...
  4. Consider an AREDS nutritional supplement. ...
  5. Eat more fish. ...

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What is macular degeneration and how can you treat it?

What can you do to prevent macular degeneration?

Is it possible to cure macular degeneration?

How do you deal with macular degeneration?

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What is latest treatment for macular degeneration?

On October 22, 2021, the FDA approved Susvimo™ (ranibizumab injection) 100 mg/mL for intravitreal use via ocular implant for the treatment of people with wet, or neovascular, age-related macular degeneration (AMD) who have previously responded to at least two anti-vascular endothelial growth factor (VEGF) injections.

Can you reverse macular degeneration?

Medical treatments No treatments can reverse macular degeneration, but some can help prevent the condition from worsening. The treatment for this condition varies according to the stage and type. However, there is currently no method to help with early-stage macular degeneration.

Is there any other treatment for macular degeneration?

There's no cure, but treatment for age-related macular degeneration (AMD) may slow the disease and keep you from having a severe loss of vision. Talk to your doctor about the best way to manage your condition.

What happens if macular degeneration is not treated?

With profound loss of vision, people may see visual hallucinations (Charles Bonnet syndrome). And dry macular degeneration may progress to wet macular degeneration, which can cause rapid vision loss if left untreated.

What foods should be avoided with macular degeneration?

Foods to avoid with macular degenerationProcessed foods that contain trans fats.Tropical oils, like palm oil (use vitamin E–rich safflower and corn oil instead)Lard and vegetable shortening, and margarine.High-fat dairy foods (eggs in moderation are a good source of eye-healthy nutrients)Fatty beef, pork and lamb.

How do you prevent macular degeneration from getting worse?

Ways to prevent age-related macular degeneration:Quit smoking. “Rules 1, 2 and 3 are stop smoking,” says Rosenthal. ... Know your family history. ... Eat leafy greens. ... Take supplements. ... Wear sunglasses. ... Maintain a healthy blood pressure and weight. ... Test yourself with an Amsler grid.

Can you live a normal life with macular degeneration?

Many patients are frightened of losing vision or going blind when they are told they have age-related macular degeneration (AMD). Fortunately, most patients with AMD can keep good vision for their entire lives, and even those who lose their central vision almost always maintain their side, or “peripheral” vision.

Do you go completely blind with macular degeneration?

This level of vision loss is considered legal blindness, and certainly may have a severe impact on daily life, but macular degeneration will not lead to complete and total blindness.

How long does it take to lose vision with macular degeneration?

How Long Does it Take to Lose Vision with Macular Degeneration? In late stages of AMD, you may have difficulty seeing clearly. On average, it takes about 10 years to move from diagnosis to legal blindness, but there are some forms of macular degeneration that can cause sight loss in just days.

Do glasses help with macular degeneration?

Macular degeneration is an age-related eye disease that involves damage to the retina and often causes low vision. Since the damage to retina is not related to the shape of the cornea, the length of the eyeball, or the power of the lens, it cannot be corrected with eyeglasses or contact lenses.

What aggravates macular degeneration?

Some things that are linked to AMD are out of your control, like the genes that your parents passed down to you. Others, like smoking, diet, or high blood pressure, are things you can do something about.

What does vision look like with macular degeneration?

When you do start experiencing vision loss from age-related macular degeneration, symptoms can include: Blurred or “fuzzy” vision. Straight lines, such as sentences on a page, appearing wavy or distorted. Blurry areas on a printed page.

What is the name of the clinical trial that evaluated the effect of nutritional supplements on the progression of macular degeneration?

Two large clinical trials sponsored by the National Eye Institute (NEI) — called the Age-Related Eye Disease Studies (AREDS and AREDS2) — evaluated the effect of nutritional supplements on the progression of macular degeneration among people with various stages of AMD.

What is laser treatment for AMD?

In laser photocoagulation treatment of wet AMD, a laser is used to destroy and seal off new blood vessels to prevent leakage and further damage to the retina. Laser treatment. Laser photocoagulation is another macular degeneration treatment for wet AMD. The procedure uses laser light to destroy or seal off new blood vessels to prevent leakage.

What is Visudyne used for?

Visudyne drug treatment (Photodynamic Therapy or PDT). Visudyne was the first drug therapy approved for treatment of the wet form of macular degeneration. It is only for those patients who have new blood vessel growth (neovascularization) under the retina in a well defined, distinctive pattern known as "predominantly classic.".

How often is Macugen used for AMD?

Macugen, developed by Eyetech Inc. and Pfizer, is administered through injections into the eye, with treatments required every six weeks.

How does Visudyne work?

Visudyne is activated by the laser light, which produces a chemical reaction that destroys abnormal blood vessels. The procedure is virtually painless, according to Novartis. One in six Visudyne patients shows improved vision, or about twice as many patients as those who do not undergo Visudyne therapy.

What is the FDA approved telescope?

Implantable telescope. In July 2010, the FDA approved a tiny, implantable device that magnifies images onto the retina to improve central vision damaged by AMD or Stargardt's macular dystrophy.

What is the drawback of laser photocoagulation?

A major drawback of laser photocoagulation, however, is that it produces many small retinal scars, which cause blind spots in the patient's visual field.

What is the treatment for macula?

Therapies. Photodynamic therapy . This procedure is very occasionally used to treat abnormal blood vessels at the center of your macula. During photodynamic therapy , your doctor injects a drug called verteporfin (Visudyne) into a vein in your arm, which travels to blood vessels in your eye.

How to check for macular degeneration?

To check for macular degeneration, a dilated eye exam is usually necessary. Make an appointment with a doctor who specializes in eye care — an optometrist or an ophthalmologist. He or she can perform a complete eye exam.

What is the yellow line under the retina?

People with macular degeneration often have many drusen — yellow deposits that form under the retina. Test for defects in the center of your vision. During an eye exam, your eye doctor may use an Amsler grid to test for defects in your central vision. If you have macular degeneration, some of the straight lines in the grid will look faded, ...

What does the yellow drusen on the retina mean?

The appearance of drusen — yellow deposits — on color photographs of the retina indicates the development of early-stage dry macular degeneration (left). As the condition progresses to the advanced stage (right), atrophy — loss of light-sensitive cells that make up the macula — may occur.

How does photodynamic therapy help with vision loss?

This activates the drug, causing the abnormal blood vessels to close, which stops the leakage. Photodynamic therapy may improve your vision and reduce the rate of vision loss.

What is the best vitamin for vision loss?

Vitamin supplements. For people with intermediate or advanced disease, taking a high-dose formulation of antioxidant vitamins and minerals may help reduce the risk of vision loss. Research from the AREDS2 (Age-Related Eye Disease Study 2) shows benefit in a formulation that includes: 500 milligrams (mg) of vitamin C.

Can macular degeneration regrow blood vessels?

Few people who have wet macular degeneration are candidates for this treatment. It generally isn't an option if you have abnormal blood vessels directly under the center of the macula.

How to stop dry macular degeneration?

Don't smoke. If you smoke, ask your doctor for help to quit. Choose a healthy diet. The antioxidant vitamins in fruits and vegetables contribute to eye health.

What is the best vitamin for vision loss?

Vitamin supplements. For people with intermediate or advanced disease, taking a high-dose formulation of antioxidant vitamins and minerals may help reduce the risk of vision loss. Research from the AREDS2 (Age-Related Eye Disease Study 2) shows benefit in a formulation that includes: 500 milligrams (mg) of vitamin C.

What does the yellow drusen on the retina mean?

The appearance of drusen — yellow deposits — on color photographs of the retina indicates the development of early-stage dry macular degeneration (left). As the condition progresses to the advanced stage (right), atrophy — loss of light-sensitive cells that make up the macula — may occur.

How to improve vision in one eye?

For selected people with advanced dry macular degeneration in both eyes, one option to improve vision may be surgery to implant a telescopic lens in one eye. The telescopic lens, which looks like a tiny plastic tube, is equipped with lenses that magnify your field of vision. The telescopic lens implant may improve both distance and close-up vision, but it has a very narrow field of view. It can be particularly useful in an urban environment to aid in identifying street signs.

What does the dye in your eye do?

The dye travels to and highlights the blood vessels in your eye. A special camera takes several pictures as the dye travels through the blood vessels. The images will show if you have retinal changes or abnormal blood vessels, which are a sign of wet macular degeneration. Indocyanine green angiography.

What does it mean when your eye is mottled?

He or she will look for a mottled appearance that's caused by drusen — yellow deposits that form under the retina.

Does macular degeneration affect vision?

Age-related macular degeneration doesn't affect your side (peripheral) vision and usually doesn't cause total blindness. But it can reduce or eliminate your central vision — which is necessary for driving an automobile, reading and recognizing people's faces.

How to regain vision after AMD?

You will likely need to get the treatment repeated on follow-up visits. Laser therapy . Your doctor may suggest a treatment with high-energy laser light that can sometimes destroy actively growing abnormal blood vessels from AMD.

What is the treatment for a swollen eye?

Photodynamic laser therapy. It's a two-step treatment that uses a light-sensitive drug to damage your abnormal blood vessels. Your doctor injects a medication into your bloodstream, which gets absorbed by the abnormal blood vessels in your eye.

Can you keep your eyesight if you have dry AMD?

The dry form of AMD, which is much more common, tends to get worse more slowly, allowing you to keep most of your vision. Sometimes, even after you get treatment for wet AMD, the condition can come back. Test your vision regularly and follow the recommendations of your doctor.

Can you be legally blind with AMD?

And you'll still be able to do many of your regular daily activities. With the severe form of either wet or dry AMD, your central vision may decrease to less than 20/200 in both eyes. Even though you'll have peripheral vision, your vision problems meet the definition of legal blindness.

Can AMD cause wet vision?

Next Steps for Macular Degeneration. Some people with the dry form of AMD can develop the wet form. If you've got the dry form now, it's important to keep a check on your vision.

Is there a cure for macular degeneration?

There's no cure, but treatment for age-related macular degeneration (AMD) may slow the disease and keep you from having a severe loss of vision. Talk to your doctor about the best way to manage your condition.

Does AMD help with vision loss?

The right treatment not only slows your vision loss, but it can improve your vision. The earlier you get a diagnosis of AMD, the greater the chance that treatment will help. See your eye doctor if you have any symptoms of AMD, and make sure you keep a regular schedule of eye exams.

Why is QoL important for macular degeneration?

Quality of life (QoL) is important for patients with macular degeneration because impaired vision can have significant effects on life, including personally, professionally, and socially. Occupational therapy or assistive devices may help individuals with macular degeneration maintain independence, continue doing things that they enjoy, and aid them in performing essential activities of daily living. These resources may help reduce feelings of helplessness and depression when coping with a chronic vision-threatening disease and help shift focus to enjoying life.

Why are therapies primarily aimed at slowing down the progression of AMD?

Therapies are primarily aimed at slowing down the progression of AMD, because it is a progressive condition without a cure.

What causes vision loss in older people?

Macular degeneration is one of the most common eye conditions causing vision loss in older individuals. In macular degeneration, the macula (the central portion of the retina) is damaged, causing impairment of central vision. Some people with the condition progress slowly, with gradual vision loss, while others may have quickly progressing symptoms or sudden vision loss.

What is the name of the disease that causes vision loss in early childhood?

Stargardt disease is a subtype of macular degeneration that is inherited and usually causes vision loss by late childhood or adolescence, although it can occur in early adulthood. 1 There is no treatment for Stargardt disease , just suggested lifestyle changes.

What to do if you have AMD?

If you have been diagnosed with AMD, Stargardt disease, or myopic macular degeneration, talk with your eye doctor about possible treatment options for your type and stage , and what might be most beneficial at this time. Think about the things you would like your treatment to achieve, and the goals of treatment you have in mind and check with your doctor to see if those goals are achievable. Expectations of treatment can vary, therefore it’s important to know the limitations of different treatments and the expected outcomes so that there are no surprises and everyone can work together towards your wellness goals.

What are the early stages of AMD?

Vision impairment in the earlier stages of AMD might include reduced contrast sensitivity, trouble adjusting to dark environments after being in bright areas, or blank spots when looking at something or someone. 3 While frustrating and annoying, these may not be very detrimental to QoL at first. As AMD progresses, severe impairment to central vision and acuity may occur, ability to see in dimly lit environments may be markedly reduced, and vision loss may become significant enough to severely limit activities that were previously enjoyed. 3

How does AMD affect you?

Patients living with AMD are at risk for developing clinical depression, not only because of how the condition affects daily activities, but also because AMD can affect your ability to take care of yourself in various ways, impact your social interactions, and increase your risk of falls or fractures. 3 Individuals with AMD have shown levels of emotional distress that are similar to those suffering from other disabling chronic illnesses, making it especially important to get assistance with promoting and maintaining good QoL. 3

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Diagnosis

Treatment

Clinical Trials

Lifestyle and Home Remedies

Medically reviewed by
Dr. Sanyukta Joshi
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
There is no permanent cure for macular degeneration. Treatments aim at slowing down the progression of disease and preventing vision loss.
Medication

Anti angiogenesis drugs: Prevent the formation of new blood vessels and leakage from the abnormal vessels.

Ranibizumad . Aflibercept . Bevacizumab


Vitamin supplements: To reduce the risk of vision loss.

Vitamin A

Therapy

Laser therapy:High-energy laser rays are used to destroy the abnormal blood vessels.

Photodynamic therapy:A light sensitive drug is used to damage the abnormal blood vessels, followed by the use of laser rays to destroy them.

Low vision rehabilitation:Working with professionals to cope with changing vision.

Self-care

Always talk to your provider before starting anything.

  • Quit smoking.
  • Visit your doctor regularly.
  • Use bright lights in places you commonly use.

Nutrition

A healthy balanced diet is recommended.

Foods to eat:

  • Foods rich in antioxidants: e.g. kale, spinach, broccoli, peas
  • Foods rich in zinc: e.g. milk, cheese, yogurt, whole-grain cereals, whole-wheat bread, lamb
  • Foods high in unsaturated fats: e.g. olive oil
  • Omega-3 fatty acid rich foods: e.g. salmon, tuna, walnut

Foods to avoid:

  • NA

Specialist to consult

Ophthalmologist
Specializes in the medical and surgical care of the eyes.

Coping and Support

Preparing For Your Appointment

  • Treatments are available that may help slow disease progression, preserve existing vision and, if started early enough, recover some lost vision.
See more on mayoclinic.org

Diagnosis

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
See more on mayoclinic.org

Treatment

  • Even after receiving a diagnosis of wet macular degeneration, you can take steps that may help slow vision loss. 1. Don't smoke.If you smoke, ask your doctor for help to quit. 2. Choose a healthy diet. The antioxidant vitamins in fruits and vegetables contribute to eye health. Kale, spinach, broccoli, squash and other vegetables have high levels of...
See more on mayoclinic.org

Clinical Trials

  • Vision loss from macular degeneration can affect your ability to do things such as read, recognize faces and drive. These tips may help you cope with your changing vision: 1. Ask your eye doctor to check your eyeglass prescription.If you wear contacts or glasses, be sure your prescription is up to date. If new glasses don't help, ask for a referral to a low vision specialist. 2. Use magnifiers. …
See more on mayoclinic.org

Lifestyle and Home Remedies

  • To check for macular degeneration, a dilated eye exam is usually necessary. Make an appointment with a doctor who specializes in eye care — an optometrist or an ophthalmologist. He or she can perform a complete eye exam.
See more on mayoclinic.org

Coping and Support

Preparing For Your Appointment

  • As of now, there's no treatment for dry macular degeneration. However, there are many clinical trials in progress. If your condition is diagnosed early, you can take steps to help slow its progression, such as taking vitamin supplements, eating healthfully and not smoking.
See more on mayoclinic.org

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