Macular Degeneration

Central vision changing? Get it checked early.

Macular degeneration is a leading cause of severe vision loss in people over 50. It affects the center of your vision, the part you use to read, drive, and recognize faces. Early detection and monitoring can help protect the vision you have.

Warning Signs

Changes in your central vision

Macular degeneration can develop slowly, so changes may be easy to miss. Common signs include:

Blurry central vision

Wavy or distorted lines

Dark or empty spots

Needing more light up close

Call us right away

If straight lines suddenly look wavy or you notice a sudden change in central vision, contact us right away. Wet macular degeneration can progress quickly, and prompt treatment makes a difference.

Overview

What is macular degeneration?

The macula is the central part of the retina, the light-sensitive tissue at the back of the eye. It’s responsible for sharp, detailed vision. Macular degeneration damages this area and gradually reduces central vision. It’s most common after age 60.

Age is the biggest risk factor

Family history, smoking, high blood pressure, cardiovascular disease, diet, and sun exposure can also increase your risk. Some of these can be managed, which makes regular exams even more valuable.

Types

Dry vs. wet macular degeneration

There are two main types, and they progress very differently.

Dry (Atrophic) AMD

The most common form, making up about 80–90% of cases. It involves thinning of the macula and yellow deposits called drusen, and it progresses slowly.

Wet (Neovascular) AMD

Less common but more severe. Abnormal blood vessels grow under the retina, leak fluid or blood, and can cause rapid vision loss.

Risk Factors

What raises your risk?

Some risk factors can’t be changed, but others can be managed with healthy habits and regular care.

Age

Risk rises significantly after 60.

Family History

Having relatives with the condition increases your risk.

Smoking

One of the most significant changeable risk factors.

Heart and Blood Pressure

High blood pressure, high cholesterol, and cardiovascular disease affect blood flow to the retina.

Diet and Weight

Diets high in saturated fat and low in leafy greens and fish are linked to higher risk.

Sun Exposure

Unprotected UV exposure over time can damage the retina.

Diagnosis

How we diagnose macular degeneration

Diagnosis combines a detailed exam with imaging that shows the retina and blood flow.

History and Vision Check

We ask about your symptoms and test how well you see at different distances.

Dilated Eye Exam

Drops widen your pupils so we can examine the retina and macula closely.

OCT Imaging

A non-invasive scan shows cross-sections of the retina, revealing drusen, thinning, or fluid.

Fluorescein Angiography

A dye and special camera show blood flow, helping identify leaking vessels in wet AMD.

Amsler Grid

A simple grid you can use at home to spot wavy or missing lines between visits.

Treatment

Treatment options for macular degeneration

There’s currently no cure, but treatment can slow progression and help preserve vision. The approach depends on the type.

Dry AMD: Nutrition

The AREDS and AREDS2 studies found that specific vitamin and mineral formulas can reduce the risk of advanced disease in some patients.

Dry AMD: Lifestyle

Leafy greens, omega-3s, not smoking, and sun protection support overall eye health.

Wet AMD: Anti-VEGF Injections

Medications injected into the eye slow abnormal blood vessel growth, usually monthly at first, then less often.

Wet AMD: Other Therapies

Photodynamic therapy and laser treatment can seal leaking vessels in some cases.

Research is ongoing

Gene and stem cell therapies are being studied. Ask us whether any clinical trials may be a fit for you.

Prevention

Protecting your eyes every day

Healthy habits can help reduce your risk and slow progression if you’re already affected.

Get regular exams

Quit smoking

Eat leafy greens and fish

Wear UV-blocking sunglasses

Manage blood pressure and cholesterol

Protect the vision you have

If you or a loved one is facing macular degeneration, our team at Foley Vision Center is here to help you understand your options.

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9:00am – 6:00pm

Thursday

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