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What is AMD vision?

Published in Eye Health 4 mins read

AMD vision, more accurately referring to the vision affected by Age-related Macular Degeneration (AMD), is the compromised central visual field resulting from damage to the macula, the central part of the retina. AMD affects a person's ability to see fine details and perform tasks like reading, driving, and recognizing faces.

Understanding AMD and its Impact on Vision

Age-related macular degeneration (AMD) is a progressive eye disease that primarily impacts the macula. The macula is responsible for sharp, central vision, which is crucial for daily activities. Damage to this area leads to the characteristic visual disturbances associated with AMD.

Key Characteristics of AMD Vision Loss:

  • Central Vision Loss: The most prominent symptom is a blurry or blind spot in the center of the field of vision.
  • Distorted Vision (Metamorphopsia): Straight lines may appear wavy or distorted. This is often an early sign of wet AMD.
  • Difficulty with Fine Details: Tasks requiring sharp vision, such as reading small print or threading a needle, become increasingly difficult.
  • Reduced Contrast Sensitivity: Difficulty distinguishing between similar shades of color or low-contrast objects.
  • Impaired Depth Perception: This can make navigating stairs or judging distances challenging.

Types of AMD and Their Vision Effects:

There are two main types of AMD: dry and wet.

  • Dry AMD: This is the more common form and progresses slowly. Vision loss is gradual and typically less severe than wet AMD. The hallmark of dry AMD is the presence of drusen (yellow deposits) in the macula.
  • Wet AMD: This is a more aggressive form where abnormal blood vessels grow beneath the retina and leak fluid or blood, causing rapid and severe vision loss. The distortion of vision is more pronounced in wet AMD.

Risk Factors:

Several factors increase the risk of developing AMD, thus increasing the likelihood of experiencing its associated vision loss:

  • Age: The most significant risk factor; AMD is more common in people over 50.
  • Family History and Genetics: A family history of AMD increases your risk.
  • Smoking: Significantly increases the risk and accelerates the progression of AMD.
  • Cardiovascular Disease: Conditions like high blood pressure and high cholesterol are linked to an increased risk.
  • Obesity: Studies suggest a correlation between obesity and AMD.

Management and Treatment:

While there's no cure for AMD, treatments can help slow its progression and manage symptoms.

  • Dry AMD: Management focuses on lifestyle changes (e.g., quitting smoking, healthy diet) and nutritional supplements containing AREDS2 formulation (vitamins C and E, lutein, zeaxanthin, zinc, and copper). These supplements have been shown to slow the progression of intermediate to advanced dry AMD.
  • Wet AMD: Treatment typically involves anti-VEGF (vascular endothelial growth factor) injections into the eye. These medications help to stop the growth of abnormal blood vessels and reduce leakage, thereby preserving vision. Laser photocoagulation and photodynamic therapy are other treatment options, but less commonly used now due to the effectiveness of anti-VEGF drugs.

In summary, AMD vision refers to the impaired central vision resulting from damage to the macula caused by age-related macular degeneration. This condition can significantly impact daily life, but early detection and treatment can help slow its progression and preserve remaining vision.

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