Doctor insights on:
Macular Gramular Dystrophy
Dystrophy: Best treatment depends on how extensive it is and your vision. What is your vision? Have you ever had PRK? Any other medical issues? There is good treatment. DALK using the big-bubble technique can be useful in treating corneal stromal dystrophies and may help prevent need for Corneal transplants. Consult with us to help solve this issue. ...Read more
Macular corneal dys.: Macular corneal dystrophy is a rare and progressive corneal problem that starts at an early age. It can lead to painful corneal erosions, light sensitivity, and vision loss. It is hereditary (autosomal recessive), and relatively common in Iceland and Saudi Arabia. Treatment is supportive until corneal transplantation is required. Laser procedures and DSEK are not effective unfortunately. ...Read more
What is the best treatment or a place where I can treat my cousins macular gramular dystrophy 4 eyes?
Also: Try lions club and lighthouse for the blind. ...Read more
Inherited disease: Stargardts macular dystrophy is usually a bilateral form of macular degeneration which leads to severe central vision loss by the 5th decade of life. The peripheral vision usually remains intact. While it is inherited from both parents, the risks of passing it on to the next generation are quite slim. There is a clinical trial testing the efficacy of stems cells on reversing damage in smd. ...Read more
Macular definitions: Maculopathy is any disorder of the macular area. The most common, age related macular degeneration is about 5% inherited and the rest age related. The macula can be disordered in diabetic retinopathy, serous retinopathy, macular holes and cysts as well as parasitic infections. Consult your ophthalmologist if you suspect a problem. ...Read more
Macula is the central part of the retina that does the fine focus.
Maculopathy is when there is a disease process causing damage to macula. That can be from drugs, diabetes, . ...
Macular dystrophy can be confusing. Macula is a type of spot. So if it is used in relation to cornea, that is a separate issue. In terms of retina... A disease process that is genetically predestined. ...Read more
Yes: Retinal dystrophies are uncommon or rare, usually inherited conditions. Most retinal specialists are good at diagnosing them. However, if you want an opinion form an expert on the topic, and possibly genetic testing, I suggest you go to a university center with professors interested in macular dystrophies. Some great centers include: stein eye/ucla, uic, hopkins, bascom palmer, etc. ...Read more
See a retina special: There are no treatments for this. In the very small percentage that also get choroidal neovascularization, anti-vegf injections are helpful. This is a disease where gene therapy will theoretically be helpful in the future. ...Read more
Macular degeneration: A dystrophy is something a person is born with. A degeneration is an acquired condition that occurs as a person ages. Macular degeneration is a disease of older people, whereby the macula suffers progressive damage and the patient suffers visual loss, either slowly or rapidly. A macular dystrophy usually shows up earlier in life, with variable visual consequences, depending on the disorder. ...Read more
Age of onset.: Typically, macular degeneration occurs in patients older than 55 years, and called age-related. There may be genetic associations as well. However, macular dystrophies are typically rare, inherited disorders occurring earlier in life which usually cause photoreceptor loss in the retina tissue. Both tend to cause central vision loss of varying degree. There is no effective treatment for dystrophy. ...Read more
Just diagnosed with Fuchs dystrophy. Also have open angle glaucoma & Macular pucker. Are the diseases related to each other or rare to have all 3?
Not rare: The diseases are not usually related to each other but they are common. Its unfortunate that you have to deal with all three. However, these diseases can be managed well, medically and surgically, and still allow you to have good vision. Open angle glaucoma is generally bilateral, so continue with the evaluations to make sure you start treatment in the left eye when the signs become positive. ...Read more
I have got macular dystrophy and I am total color blind. My eyes are highly sensative to bright light. What can be one to cure?
Not available yet: You have an inherited degeneration of the macular light receptive cells. Currently no cure is available. Much investigation is underway for these conditions. The best current hope seems to be in the use of stem cells but much work needs to be done. Keep in touch. ...Read more
The same everywhere: Ophthalmolgists throughout the world are in constant communication by journals, meetings and the internet. The treatment for macular disease in major cities is the same everywhere. The best plan is to find a good local retinal specialist who can evaluate and treat your condition. ...Read more
What to do if I have macular dystrophy, photo-phobia and color blindness. Where I'll get best treatment within asia?
Lots of geography: Asia is big territory. I would start with an academic ophthalmology center in the country in which you live or are relocating. Most have specialists in your type of problem. ...Read more
Corneal lining: The inner lining of the cornea consists of cells which pump fluid from the cornea keeping it clear. When these cells are deficient or incompetent, the cornea swells with fluid. This when spontaneous is called fuch's. Surgical replacement of the cells from a donor can restore clarity in a procedure called dsek. ...Read more
Problem withcolor ey: The most common symptoms of cone dystrophy are vision loss (age of onset ranging from the late teens to the sixties), sensitivity to bright lights, and poor color vision. Therefore, patients see better at dusk. Visual acuity usually deteriorates gradually, but it can deteriorate rapidly to 20/200; later, in more severe cases, it drops to counting fingers vision. ...Read more
Genetic studies only: You are asking about facial-scapular-humaral dystrophy. This is a very familial form of mild muscular dystrophy that involves the face and shoulders and upper arms and is progressive from adolescence on. There are no definite treatments except exercises and at times tendon-muscle transfers. Advances in the genetic evaluation seem exciting. There are trials of Prednisone such as in duchenne's. ...Read more
No, but thank you: For your interest to serve. That's a tough illness to live with, and you would be stressing your muscles out too much doing excercises even to pass Basic Training, regardless of MOS. If you want to serve, there are jobs in the civilian world with various branches of the government that would try to accommodate your illness if possible. The fed is very open to supporting employees w/ special needs. ...Read more
What are cell count/thickness levels for Fuch's Dystrophy that would indicate it's time for DMEK/DSEK? Current count 1381/1225, thick 594/602
Your symptoms: Generally will dictate when you are ready for a corneal transplant. Symptoms of decreased vision, glare, light sensitivity etc. If the corneal swelling is to the point where I worry about permanent corneal scarring, then I usually advise the patient towards surgery sooner rather than later. Avg numbers are about 640 for corneal thickness before surgery. Good luck. ...Read more
Inherited disorder: Dystrophies are inherited disorders. For the cornea, there are many dystrophies. The most common corneal dystrophy is the anterior basement membrane corneal dystrophy. It is also called map-dot-fingerprint dystrophy. ...Read more