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dry AMD

5 replies

lilyliz · 27/09/2010 18:41

anybody been diagnosed with dry AMD and if so whats the info,it's not actually age related but due to another existing eye condition.

OP posts:
debka · 27/09/2010 18:53

my sister is a super clever optician and also on MN, I will ask her to reply!

Miffles · 27/09/2010 22:41

Hey - I'm not sure I can claim to be super clever, but I am an optician and know about AMD. :)

Lilyliz - what is it you're wanting to know about dry AMD? As you suggest, AMD is a specific condition known as age-related macular degeneration. It generally presents in people over 60. Although it can develop earlier, it may not be true AMD but a different type of macular problem. For example, there are genetic conditions that may look similar, but are definitely different - behave differently and treated differently. It is important to get a proper diagnosis. Can you give me some more details?

I'll go into more detail about dry ARM if that's what you need.

lilyliz · 28/09/2010 21:06

Debka and Miffles I have druesen (not sure right spelling) and optician gave me an Amsler chart as she suspected AMD she has now refered me to consultant for further testing but she seemed quite upbeat about it where I think it is really serious and causes blindness is there a good treatment now for this ?

OP posts:
Miffles · 30/09/2010 18:31

I can understand why you are concerned, Lily but drusen is really quite common and often inocuous (sp? Debka will correct me!). I think your optician is probably playing it safe by referring you for another opinion.

How old are you?

there are 2 types of ARM - wet and dry. Dry accounts of 90% of ARM, but only 10% of blind registrations due to ARM. Wet, on the other hand, accounts for 90% of blind registrations due to AMD, but only 10% of AMDs. Does that make sense? Dry is more common but less devestating to sight.

When the retina works, it metabolises and produces waste, like any other living cell. The waste can congregate under the retina and this is called drusen. It prevents good oxygen flow to the retina, and may cause further degeneration. Or it may sit there and do nothing at all.

In the older population I often see drusen and think nothing of it. If there are other changes as well (pigment changes) or distortions on the Amsler chart, for example, or a reduction in vision, it may be more serious.

Dry AMD unfortunately does not have an effective treatment yet. Recommendations are to eat a diet high in fruit and veg, esp green leafy veg like broccoli, spinach and kale. Protect your eyes from UV as this can increase the damage, and above all, don't smoke.

Wet AMD is when there is leaking of fluid or blood under the retina. This can be treated if caught early, with either a laser or injections of drugs.

If you are young (under 50ish!) then there may be another cause for the drusen other than AMD, which by its name is age-related.

I hope that helps.

lilyliz · 30/09/2010 20:21

miffles the drusen is hereditary/congenital. The reason for the ops concern was the Amsler chart which was really quite distorted to me.Will let you know what consultant says,maybe I just have funny eyes,worn glasses since age four and now forty eight.

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