I have had macular degeneration for over 5 years, and I am 84 years old. I also have dry eyes and use Restasis eye drop 3 or 4 times each day with my doctor’s approval. I rub my eyes a lot and it also burns somewhat when I use the drops. Is that problematic? I also use drops when I read or watch TV. Is there anything else I can do? [ 04/27/11 ]
Restasis drops work by decreasing the inflammation on the eye surface that is common in people who have dry eye syndrome. Burning after instillation of any eye drop, especially Restasis, is frequently reported by many patients, so this is not worrisome unless accompanied by redness, pain, or decreased vision. If you have dry eye syndrome you may benefit from a variety of treatments, such as artificial tear therapy, lid scrubs, punctal plugs, etc. Please speak to your eye doctor about a customized plan for your eyes. When you are watching TV and reading, you blink less and thus dry eye symptoms become worse. Artificial tears before reading or watching TV may be helpful.
How many people between 40 and 45 years of age have macular degeneration, and how many in that age group receive a diagnosis of this disease each year? [ 04/19/11 ]
According to 2004 statistical data on the “Prevalence of Blindness” provided by the National Eye Institute, approximately 20,000 persons (0.1%) between the ages of 40 - 49 have advanced macular degeneration and around 851,000 (2%) are in the early or intermediate stages of the disease. This source of this information is the National Eye Institute.
I am a 45-year-old male who was diagnosed with age-related macular degeneration (AMD) 3 years ago. At a recent exam, my doctor described my condition as "borderline moderate." I know that the progression of AMD is unpredictable; however, I would like to know if the disease is always progressive if it stays in the dry form. Are there any norms or stats that indicate the average rate or progression of this eye disease? [ 04/16/11 ]
Dry age-related macular degeneration (ARMD) tends to progress at a slow rate causing a gradual loss of vision over many years to decades. When dry ARMD eventually affects the very center of vision, called the fovea, vision is typically lost at an increased rate. In one study, the rate of significant visual loss was 8% per year, with patients over 75 years of age progressing at a faster rate. New imaging technologies have enabled doctors to identify certain people with faster progressing subtypes of dry ARMD, and specific genes have also been linked to forms of this eye disease that progress more quickly.
I am a 56-year-old male who was diagnosed with peripheral degeneration, and I also have diabetes. What is the difference between peripheral degeneration and macular degeneration? How can I find the best eye doctors in the Rochester area of New York who can help me with my particular disorder? [ 04/15/11 ]
Peripheral degeneration of the retina is frequently an age-related change with no visual consequences, though this depends on the specific type of peripheral degeneration. Age-related macular degeneration is a disease of the central part of the retina called the macula, and is unrelated to peripheral retinal degeneration. A second opinion is always beneficial for greater peace of mind, so you can either ask your current eye doctor for a recommendation or seek consultation at the nearest academic center.
I had a cataract removed successfully from my right eye. I now have a cataract in my left eye and the doctors do not want to remove it because the vision in my right eye is good. Can you explain this? [ 04/14/11 ]
Cataract surgery or any other surgery requires that the benefit to the patient outweighs the risk of surgery. Though cataract surgery is commonly performed, patients can permanently lose some or all vision in the eye if a variety of rare complications occur. It is likely that your eye doctor does not feel that the cataract surgery in your left eye would benefit you more than the risks associated with having surgery. It is possible that the cataract is not yet having substantial impact on your vision. You may also have other factors that are contributing to the decision not to perform cataract surgery, and your doctors can provide you with further clarification regarding this.
I have dry macular degeneration, and it was first spotted by my optometrist, who dilated my iris and photographed the retina at 6 month intervals. Should I also be seeing an eye physician who specializes in macular degeneration? I am taking the AREDS vitamins, but nothing more. It doesn't seem as though there is much more that a specialist can do at this point, and the cost would certainly go up for me. Thank you for your input. [ 04/13/11 ]
The only treatment currently available for the dry subtype of age-related macular degeneration (ARMD) is the AREDS vitamin supplement. If you feel that you would have greater peace of mind with a second opinion, you may benefit from a one-time evaluation by a retinal specialist. They may also be able to direct you to literature so that you can learn more about your disease, and inform you of any clinical trials that you are eligible to participate in.
During the last year, my eyes have gone from bad to worse. I had cataract surgery in October of 2010, and now my vision is worse than it was then. I was told there was nothing that could be done and I would just have to live with it. I sought a second opinion and was given a prescription for glasses. My issue is not that I can't see, but that I can't see WELL! I live on Long Island in New York, and would like to know what eye doctor group can best help me. I need someone who I can trust and will do what’s right for me. I am willing to travel into New York City. Also, I wanted to mention that I am not receiving treatment for my glaucoma. Thank you for your help. [ 04/12/11 ]
The reason for your decreased vision could be from many causes, but without further details I cannot elaborate. Glaucoma can cause central visual loss, however this typically occurs only with advanced glaucoma. Since I do not have information about your primary eye problem, I cannot make a recommendation for the appropriate specialist in New York. It might be most expeditious to contact a previous eye care provider and ask who they would recommend for the specific problem you are having. Otherwise, a major academic medical center would be a reasonable place to contact as well.
I am in a quandary and am I hoping that you can provide some clarification. I have had wet macular degeneration in both eyes for the past 5 years, and have responded well to the eye injections. A few weeks ago, a friend called the organization that makes PreserVision and was told that since she has a history of smoking that she should be taking the formulation with lutein and not the one with vitamin A. Can you please clarify this for me? [ 04/11/11 ]
The standard AREDS formulation of vitamins found in PreserVision contains a type of vitamin A derivative called beta carotene. Beta carotene may result in increased rates of lung cancer in smokers. Lutein is thought give similar benefit to smokers with dry age-related macular degeneration, but does not result in increased risk of lung cancer.