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Age Related Macular Degeneration

 
Macular Degeneration Introduction

 

Macular degeneration is an age related disease.  It is also known as senile macular degeneration, or age related macular degeneration. It is the atrophy, or loss of function, of the macula portion of the retina. [1]  The macula is the area of the retina is a highly pigmented area, responsible for fine vision, and allows us to focus daily images.  Macular degeneration is believed to be the result of damage caused from sunlight, oxidative stress, or poor blood flow to the retina. [2]

 

There are two forms of macular degeneration.  The dry form, atrophic macular degeneration, which involves a disruption in the pigmented cells in the macula resulting in decreased function, and the wet form, or exudative macular degeneration.  In exudative macular degeneration there is a formation of a neovascular network, and retinal hemorrhages and exudates; both eventually result in permanent scaring. In addition, both forms are bilateral. [3]

 

Macular degeneration affects men and women equally.  It is world-wide disease that is more common in whites than blacks.  There are no predisposing risk factors. I t may be hereditary.  Smoking is associated with an increase prevalence of macular degeneration. [4]

Macular Degeneration Symptoms

 

Individuals will complain of a sudden or gradual loss of vision.  There is no pain associated with macular degeneration.  Most often. the central vision is affected and peripheral vision remains intact.  Visual distortion is common and can be tested using a special grid chart.  On exam of the retina, pigment disruption or retinal hemorrhages can be observed. [5]

 

 

Macular Degeneration Statistics
  • An estimated 1 in 3 Americans are affected by macular degeneration.
     

  • Currently, over 15 million Americans have been diagnosed with the condition.
     

  • 1.8 million people over the age of 40 have advanced macular degeneration, which results in blindness.
     

  • 7.3 million people are living with the intermediate stage of the disease.  90% of macular degeneration is the dry form, 10% the wet form.
     

  • The wet form of macular degeneration accounts for 90% of all cases of legal blindness in the United States. [6]
     

  • Over 150,000 Americans are legally blinded from macular degeneration, and some 20,000 new cases are diagnosed each year. [7]

 
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  Age Related Macular Degeneration
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Age Related Macular Degeneration

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