The following symptoms or complaints indicate macular degeneration: Problems reading – a blurry spot or gray shadow appears in the center of the writing, which becomes larger over time until only contrasts and outlines are perceived Distorted vision (metamorphopsia) of actually straight objects – lines are perceived wavy, letters are no longer in line Things … Age-Related Macular Degeneration: Symptoms, Complaints, Signs
The disease is still considered difficult to treat today! A causal therapy of manifest dry AMD does not exist so far.The treatment of macular degeneration is based on the following pillars: Prevention, that is, reduction of individual risk factors (see below under “General measures”, “Nutritional medicine“). Therapy: in neovascular (wet) AMD (nAMD): Laser photocoagulation Photodynamic … Age-Related Macular Degeneration: Therapy
Pathogenesis (disease development) Macular degeneration is a disease with progressive visual impairment. The cause of this disease is degeneration of the macula lutea (yellow spot or point of sharpest vision). In macular degeneration, the macula lutea is affected by other tissue changes besides degeneration, such as drusen (yellowish, sometimes confluent subretinal (“below the retina”) lipid … Age-Related Macular Degeneration: Causes
Mandatory medical device diagnostics. Slit lamp examination (slit lamp microscope; viewing of the eyeball under appropriate illumination and high magnification). Ophthalmoscopy (ocular funduscopy; synonym: funduscopy) in cases of drug-induced dilated pupils (mydriasis) – for the diagnosis of “dry” or “wet” age-related macular degeneration (AMD) [“dry” AMD: Ophthalmoscopy reveals deposits below the retinal pigment epithelium (retina), … Age-Related Macular Degeneration: Diagnostic Tests
In the vast majority of cases, a healthy lifestyle and early dietary supplementation with vital substances (micronutrients) tailored to the eye is the only way to preserve vision as long as possible! In the context of micronutrient medicine (vital substances), the following vital substances (micronutrients) are used for prevention (prevention). Omega-3 fatty acid docosahexaenoic acid … Age-Related Macular Degeneration: Micronutrient Therapy
Prevention of age-related macular degeneration (AMD) requires attention to reducing individual risk factors. Behavioral risk factors Diet High fat consumption A high dietary glycemic index is associated with an increased risk of age-related macular degeneration (AMD) Micronutrient deficiency (vital substances) – see Prevention with micronutrients. Consumption of stimulants Tobacco (smoking) AMD for smokers versus nonsmokers: … Age-Related Macular Degeneration: Prevention
Medical history (history of illness) represents an important component in the diagnosis of macular degeneration. Family history Are there any people in your family with eye disease? Social anamnesis Current medical history/systemic history (somatic and psychological complaints). Have you experienced any problems with reading? What do these limitations look like? A blurry spot or gray … Age-Related Macular Degeneration: Medical History
Eyes and eye appendages (H00-H59). Hereditary macular dystrophies – group of various genetic disorders associated with progressive deterioration of the function of the center of the retina, called the macula. Retinopathies / retinal diseases (diabetic, hypertensive / due to diabetes mellitus or hypertension / high blood pressure).
The following are the most important diseases or complications that may be contributed to by age-related macular degeneration: Eyes and eye appendages (H00-H59). Hemorrhages under the retina (retina). Wet macular degeneration in the presence of dry macular degeneration. Recurrence (recurrence) of wet AMD. Severe visual impairment – high-grade visual impairment to blindness (nearly 9% of … Age-Related Macular Degeneration: Complications
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin and mucous membranes Eyes Ophthalmic examination: ophthalmoscopy (ophthalmoscopy) – for the diagnosis of “dry” or “wet” age-related macular degeneration (AMD). [“dry” AMD: Ophthalmoscopy reveals deposits below the retinal … Age-Related Macular Degeneration: Examination
2nd order laboratory parameters – depending on the results of the medical history, physical examination, etc. – for differential diagnostic clarification Inflammatory parameter – CRP (C-reactive protein). Fasting blood glucose (fasting glucose). HbA1c (blood glucose long-term value) Homocysteine Cholesterol (HDL; LDL)