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Macular degeneration is an eye disease in which the macula – the area responsible for sharp central vision – becomes progressively damaged. It is a leading cause of vision loss in older adults.
Macular degeneration is an eye disease in which the macula – the area responsible for sharp central vision – becomes progressively damaged. It is a leading cause of vision loss in older adults.
Macular degeneration is a disease of the retina in which the macula – the central part of the retina responsible for sharp, detailed vision – is progressively damaged. The macula allows us to see fine details, read, and recognize faces. When it is impaired, a blurry or dark spot appears in the central visual field. The disease does not cause complete blindness but can severely limit the ability to read, drive, or recognize faces.
The dry form is the most common type, accounting for approximately 80–90% of all cases. It develops through the gradual accumulation of metabolic waste deposits called drusen beneath the retina. Retinal cells deteriorate slowly over years, and vision loss typically progresses gradually.
The wet form is less common but significantly more aggressive. Abnormal new blood vessels grow beneath the retina and leak fluid and blood, leading to rapid deterioration of vision. Without treatment, substantial vision loss can occur within weeks or months.
The exact cause of macular degeneration is not yet fully understood. It involves a complex interaction of genetic, age-related, and environmental factors:
Macular degeneration is often symptom-free in its early stages. Typical signs include:
Diagnosis is made by an ophthalmologist using several examination methods:
There is currently no therapy that can fully halt the progression of the dry form. However, studies have shown that certain high-dose nutritional supplements – known as AREDS formulations (Age-Related Eye Disease Study) containing vitamins C and E, zinc, lutein, and zeaxanthin – can slow progression in advanced stages.
The wet form is primarily treated with anti-VEGF injections. Agents such as ranibizumab, aflibercept, or bevacizumab are injected directly into the vitreous of the eye. These drugs inhibit the growth of abnormal blood vessels and can stabilize or even improve vision. Treatment typically needs to be repeated at regular intervals.
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