Milton Eye and Vision Care - Dr Ron Strohan

Macular Degeneration: Symptoms, Diagnosis, and Treatment Options

Senior woman having vision problems, she can't read the messages on her smartphone

Eye Care

January 30, 2025

Macular Degeneration: Symptoms, Diagnosis, and Treatment Options

Macular degeneration is a leading cause of vision loss, particularly among older adults. It affects the macula, the central part of the retina responsible for sharp vision. While there is no cure for macular degeneration, early diagnosis and effective treatment options can help manage the condition and slow its progression. In this article, we'll dive into the causes, risk factors, types, and treatments for macular degeneration.

What is Macular Degeneration?

Macular degeneration is a progressive eye condition that damages the macula, causing central vision loss. This can make everyday tasks like reading, driving, and recognizing faces difficult. There are two primary types of macular degeneration: wet and dry. The dry form is more common, accounting for nearly 90% of all cases. Both types can lead to severe vision impairment if not properly managed.

Who is at Risk for Macular Degeneration?

Several factors increase the risk of developing macular degeneration. Understanding these risk factors can help you take preventative measures and catch the condition early:

  • Older Adults: Age is the biggest risk factor for macular degeneration. The condition primarily affects people over the age of 50, with the risk increasing as one ages.
  • Individuals with Diabetes: People who have diabetes are at a higher risk of developing macular degeneration due to the effects of high blood sugar on the blood vessels in the eye.
  • Certain lifestyle factors can increase the risk of macular degeneration. Smoking and being overweight, in particular, damage blood vessels in the eye, significantly raising the likelihood of developing the condition. Maintaining a healthy lifestyle can help reduce the risk.

Types of Macular Degeneration

There are two main types of macular degeneration: wet and dry. Both types can cause vision loss, though they have different causes and treatment options.

Wet Macular Degeneration

Wet macular degeneration occurs when abnormal blood vessels grow beneath the retina and leak fluid. This can cause rapid vision loss and is the more aggressive form of the disease.

Dry Macular Degeneration

Dry macular degeneration is the more common type and occurs when the cells in the macula gradually break down over time. While it progresses more slowly, it can still lead to significant vision loss.

Diagnosis of Macular Degeneration

Early detection is crucial in managing macular degeneration. Several diagnostic tools can help identify the condition:

Amsler Grid

The Amsler grid is a simple test used to detect early signs of macular degeneration. It consists of a grid of straight lines, which helps identify any distortions or blank spots in your central vision, both signs of macular degeneration.

Using the Amsler grid is a straightforward process, and it's recommended to do it daily to monitor your vision. Here's a step-by-step guide on how to use it effectively:

  1. Begin by wearing any corrective glasses you normally use for reading. Hold the Amsler grid about 12 to 15 inches away from your face in a well-lit area to ensure clear visibility.
  2. Cover one of your eyes with your hand or an eye patch, ensuring that the other eye remains uncovered.
  3. Focus directly on the center dot of the grid with your uncovered eye. It’s essential to keep your gaze focused on this dot throughout the test.
  4. While keeping your focus on the center dot, pay close attention to the lines in your peripheral vision. Do any lines appear wavy, blurry, dark, or missing entirely? These could be signs of macular degeneration.
  5. After completing the test with one eye, cover the other eye and repeat the process. It’s important to check both eyes to notice any vision changes in either eye.

Regularly performing this simple test can help you detect any early signs of macular degeneration or other vision problems. If you notice any abnormalities, consult an eye care professional promptly for further evaluation.

How people with macular degeneration might see the Amsler grid:

amsler grid blurry

Optical Coherence Tomography (OCT) and Optical Coherence Tomography Angiography (OCTA)

Optical coherence tomography (OCT) and optical coherence tomography angiography (OCTA) are advanced imaging techniques used for diagnosing macular degeneration and monitoring its progression.

  • OCT creates detailed cross-sectional images of the retina, allowing doctors to visualize the layers of the retina and identify any abnormalities, such as fluid buildup or thinning of the macula.
  • OCTA, an extension of OCT, provides detailed images of blood vessels in the retina without requiring dye injection, offering valuable insights into blood flow and any abnormalities that may be contributing to macular degeneration.

Both tests are essential in detecting and monitoring the disease, helping to determine the best course of treatment.

Macular Degeneration Treatment

Although there is no cure for macular degeneration, several treatment options are available to manage the condition and prevent further vision loss.

Vitamins and Minerals

Research has shown that certain vitamins and minerals can slow the progression of macular degeneration, particularly in individuals with the dry form of the condition. Antioxidants like vitamins C and E, along with zinc, are commonly recommended as part of a treatment plan.

Anti-VEGF Shots

For wet macular degeneration, anti-VEGF (vascular endothelial growth factor) injections are commonly used to treat abnormal blood vessel growth. These injections can help reduce leakage and fluid buildup beneath the retina, which may improve vision in some patients.

Photodynamic Therapy

When anti-VEGF injections are not effective or cannot be used, photodynamic therapy may be considered as an alternative treatment option. This involves injecting a special dye into the bloodstream, which is then activated by laser light to target and destroy abnormal blood vessels causing damage to the retina.

Macular Degeneration: Take Control of Your Eye Health

Macular degeneration is a serious condition that can significantly affect your quality of life. Understanding the risk factors, types, and available treatment can help you take proactive steps to manage your eye health. If you're at risk, don’t wait—book a test today. With the right treatment, it’s possible to slow the progression of the disease and maintain your vision for years to come.

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Written by

Dr. Ronald Nicholas Strohan

Dr. Strohan has been an integrative optometrist in the Milton, Ontario area for over 40 years and has always stayed true to his philosophy of focusing on excellent patient eye care. He has studied behavioural optometry for more than 4 decades and is passionate about providing clear vision for patients of all ages. He takes pride in offering the latest eye care products and advancements in vision therapy.

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