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Doctor insights on: Macular Degeneration

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Dr. Richard Scartozzi
541 doctors shared insights

Macular Degeneration (Overview)

Macular degeneration is a medical condition in which the macula, the central most part of the retina that is responsible for one's most detailed vision, undergoes changes that can lead to blindness.


Dr. Richard Scartozzi
Board Certified, Retinal Surgery
14 years in practice
2M people helped
1

1
What is the definition or description of: macular degeneration?

Dr. Richard Scartozzi
Board Certified, Retinal Surgery
14 years in practice
2M people helped
What is the definition or description of: macular degeneration?

Two types: Genetic disease affecting the central vision in some older adults. 1. Dry age-related macular degeneration: treated with areds vitamins, tobacco cessation. 2. Wet age-related macular degeneration: intravitreal injections of anti-vegf molecules like avastin, lucentis, or eylea. ...Read more

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Dr. Peter Kurzweil
Board Certified
45 years in practice
16M people helped
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Dr. Peter Kurzweil
Board Certified
45 years in practice
16M people helped
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Dr. Richard Scartozzi
541 doctors shared insights

Macular Degeneration (Overview)

Macular degeneration is a medical condition in which the macula, the central most part of the retina that is responsible for one's most detailed vision, undergoes changes that can lead to blindness.


Dr. Richard Scartozzi
Board Certified, Retinal Surgery
14 years in practice
2M people helped
2

2
How does macular degeneration affect a person's vision?

Dr. Richard Scartozzi
Board Certified, Retinal Surgery
14 years in practice
2M people helped
How does macular degeneration affect a person's vision?

See below: It usually affects the central vision; i.e., one's reading vision. Symptoms includes central blurry or missing spots or distortion/waviness in vision where straight lines appear wavy (metamorphopsia). ...Read more

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Dr. Peter Kurzweil
Board Certified
45 years in practice
16M people helped
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Dr. Peter Kurzweil
Board Certified
45 years in practice
16M people helped
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Dr. Michael Ham
Board Certified, Ophthalmology
22 years in practice
2M people helped
3

3
Is a symptom of macular degeneration the need for brighter light to see or can that occur with other conditions?

Dr. Michael Ham
Board Certified, Ophthalmology
22 years in practice
2M people helped

Yes and Yes: Macular degeneration can lead to the need for more light to read. So can cataract, the need for glasses, presbyopia, etc. ...Read more

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Dr. David Kira
Board Certified, Ophthalmology
16 years in practice
988K people helped
4

4
What are the symptoms of macular degeneration?

Dr. David Kira
Board Certified, Ophthalmology
16 years in practice
988K people helped
What are the symptoms of macular degeneration?

Decreased vision: Symptoms of macular degeneration may include: decreased central vision, distortion of straight lines, poor light tolerance and dark adaptation and in very severe cases visual hallucinations. ...Read more

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Dr. Peter Kurzweil
Board Certified
45 years in practice
16M people helped
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Dr. Samuel Barone
Board Certified, Ophthalmology
17 years in practice
104K people helped
5

5
What is the first sign of macular degeneration?

Dr. Samuel Barone
Board Certified, Ophthalmology
17 years in practice
104K people helped
What is the first sign of macular degeneration?

Vision changes: The first symptom most people experience with macular degeneration is a change in vision. An amsler grid is a simple screening tool available for home use that can allow patients who are at risk for macular degeneration to monitor for such changes. ...Read more

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Dr. David Kira
Board Certified, Ophthalmology
16 years in practice
988K people helped
6

6
How can you verify a diagnosis of macular degeneration?

Dr. David Kira
Board Certified, Ophthalmology
16 years in practice
988K people helped
How can you verify a diagnosis of macular degeneration?

Dilated exam: Macular degeneration comes in two general forms: wet and dry. The dry form is generally clinically diagnosed on exam while the wet form is diagnosed using special Fluorescein dyes and optical coherence tomography - a type of laser scan of the retina. ...Read more

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Dr. Ilan Cohen
Board Certified, Ophthalmology
20 years in practice
988K people helped
7

7
Can laser photocoagulation be used to treat macular degeneration? I'm 65 and was recently diagnosed with macular degeneration. I want to do whatever i can to prevent myself from going blind. Is laser photocoagulation a safe treatment to cure my condition?

Dr. Ilan Cohen
Board Certified, Ophthalmology
20 years in practice
988K people helped

Not really: Modern treatment of macular degeneration involves the use of laser photocoagulation less and less. Most people have dry macular degeneration which does not require surgical intervention. For those with the wet form, drugs are used much more than lasers today. Regardless of the treatment, we cannot cure macular degeneration currently. We can only manage it. ...Read more

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Dr. Richard Bensinger
Board Certified, Ophthalmology
47 years in practice
32M people helped
8

8
What exactly is macular degeneration?

Dr. Richard Bensinger
Board Certified, Ophthalmology
47 years in practice
32M people helped

Two types: This is a failure of the maintainance of the health of vessels supplying the critical, central portion of the retina. In the 'wet' form, the vessels leak and can cause sudden, profound vision loss. The dry form vessels slowly dry up, leading to gradual vision loss. Meds to treat the wet form are available and if successful, convert you to the dry form. Use the areds supplement to slow it down. ...Read more

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Dr. Richard Scartozzi
Board Certified, Retinal Surgery
14 years in practice
2M people helped
9

9
Question about macular degeneration? Going to annual exam. Should I ask for tests for it?

Dr. Richard Scartozzi
Board Certified, Retinal Surgery
14 years in practice
2M people helped

See below: Ask your eye doctor to check for macular degeneration. If you have it or if you want to be more certain whether you have it, see a retina specialist. ...Read more

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Dr. Andrew Shatz
Board Certified, Ophthalmology
21 years in practice
2M people helped
10

10
How long does it take for severe damage to last if you have macular degeneration?

Dr. Andrew Shatz
Board Certified, Ophthalmology
21 years in practice
2M people helped

Any time: Macular degeneration is a "spectrum" disease: it can be very mild for a very long time, or can become severe rather quickly. Once damage sets in, it tends to progress. The "dry" form is slower to progress but has no good treatments available. The "wet" form is more devastating but there are some good therapies that can control it if caught early. ...Read more

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Dr. Peter Kurzweil
Board Certified,
45 years in practice
16M people helped
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