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Age-related
macular degeneration (ARMD) is a degenerative
condition of the macula. which affects the central vision. Its prevalence increases with age.
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Types
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Wet
(neovascular) : New
delicate vessels form, which can bleed.
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Patient with wet macular degeneration develop new blood vessels under the retina. This causes hemorrhage, swelling, and scar tissue but it can be treated with laser in some cases.
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Dry
(non-neovascular) : Characterized
by drusen and loss of pigment in the retina.
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Dry macular degeneration, although more common, typically results in a less severe, more gradual loss of vision.
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Signs
and Symptoms
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Loss
of central vision & difficulty in reading
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Distorted
vision (Straight lines such as the edge of a window may appear wavy
or bent.)
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This example demonstrates what
a patient with advanced macular degeneration sees.
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Wet (neovascular)
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Wet (neovascular)
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| Treatment |
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There
is no proven medical therapy for dry ARMD. Laser photocoagulation
can be done in selected cases of the wet type. It usually does not
restore lost vision, but it may prevent further loss.
Recently, photodynamic therapy has proven to be effective
in stopping abnormal blood vessel growth in some patients. Early
diagnosis is critical for successful treatment of wet macular degeneration.
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Tips
for AMD patients
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Monitor
your vision daily with an Amsler grid. By checking your vision
regularly, changes that may require treatment can be detected early.
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Quit smoking. Smoking impairs the body's circulation, decreasing
the efficiency of the retinal blood vessels.
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Exercise
regularly. Cardiovascular exercise improves the body's overall
health and increases the efficiency of the circulatory system.
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