Macular Degeneration

Concerned About Macular Degeneration? – Here Are 6 Tips to Lower your Risk

What Is Macular Degeneration?

Age-related macular degeneration (AMD) is a deterioration of the macula, the key part of the retina responsible for highly detailed vision and central vision. There are two main types of macular degeneration: dry and wet.

Dry AMD occurs when small deposits in the macula called drusen gradually damage the light-sensitive retinal nerve cells, leading to vision loss.

In wet AMD, fragile new blood vessels grow under the macula. When these blood vessels leak blood or fluid, it damages the macula. Although both types of macular degeneration can result in vision loss, wet AMD is the more serious form of the disease as it results in faster and greater vision loss.

Who Is At High Risk for Macular Degeneration?

age 50+
a diet high in saturated fat
Smoking
High blood pressure
Obesity
Family history of AMD
Cardiovascular disease

6 Ways to Reduce Your Risk of Macular Degeneration

The following have been shown to lower the risk of developing AMD:

Stop smoking

If you don’t smoke, don’t start, and if you smoke—quit. Smokers are 4 times more at risk of developing AMD and typically develop the disease around 10 years earlier than non-smokers.

Wear Quality Sunglasses

UV rays from sunlight can put your eyes at risk. So make sure you choose high-quality 100% UVA & UVB filtering sunglasses to block the sun’s harmful UV rays. Consider getting polarized lenses, as they filter out reflected light rays more efficiently. That’s especially important if you spend time on the water, at the beach, in the snow or driving.

Check Your Blood Pressure

High blood pressure not only harms your heart, but restricts oxygenated blood from reaching your eyes. Have your blood pressure checked regularly. If you already have high blood pressure, consider using an at-home monitor to keep track of it.

Eat Healthy and Consider Supplements

Cut out saturated fat, which can raise your blood pressure. Eat fewer animal fats and replace butter with olive oil. Look for plant-based, high-protein alternatives to meat, and eat oily fish like sardines, mackerel and salmon.

Dark, leafy greens are terrific for your eyes. Kale and other greens are full of lutein and zeaxanthin, antioxidants that promote eye health. If you have dry AMD, ask your optometrist about antioxidant supplements that can slow AMD’s progression.

Know Your Family History

Up to 70% of AMD cases have a genetic component. People with a parent or sibling with AMD have a greater risk of developing this serious sight-threatening eye disease. If you have a family history of this disease, get your eyes frequent eye tested for AMD.

Get Your Eyes Checked Regularly

Everyone should have regular comprehensive eye exams, especially if you’re over 50, have a family history of AMD, hypertension or other risk factors.

An eye exam that screens for AMD typically includes:

Visual Acuity – tests your ability to read and see an eye chart from various distances
Pupil Dilation – the optometrist applies eye drops to dilate the pupil so they can examine the inside of your eyes
Digital Retina Image and/or OCT – full color 3D imaging of the macula to detect leakage from the vessels and measure retinal thickness. This can help the eye doctor diagnose wet AMD, even in the early phases.
Amsler Grid – The optometrist asks the patient how straight lines on a checkerboard grid appear. The answer “wavy” or “missing” could indicate the presence dry or wet AMD.

Your vision is your gateway to the world. Good vision lets you live an active and independent life, even in your advanced years. Regardless of your age, get your eyes checked regularly, and all the more frequently if you have a family history of AMD or other risk factors.

To schedule your eye exam with Dr. Moshe Roth and Dr. Steffani Tiomno, contact Family Eye Care in Old Bridge today.

FAQ

What percentage of the population has macular degeneration?

An estimated 8.7% of the global population has macular degeneration. This number is expected to increase from the current 196 million people affected to 288 million by 2040.

Do injections work for wet macular degeneration?

When AMD has progressed to the “wet” phase, anti-VEGF injections can preserve remaining vision by reducing fluid leakage and bleeding from the macular blood vessels.

What’s The Link Between Obesity And Eye Disease?

People who are obese are at higher risk of developing some sight-threatening eye conditions and diseases. Read on to discover why, and how we can help.

It is well documented that obesity impacts health in numerous ways, from a higher incidence of diabetes to cardiovascular disease. What many people don’t know is obesity’s negative effect on vision and eye health. Speak with our Eye care professionals at Family Eye Care about any concerns you may have about your eye health or vision.

There is increasing evidence that obese individuals have a greater risk of developing serious, sight-threatening eye diseases.

Researchers at the Goldschleger Eye Institute at the Sheba Medical Center found a consistent link between obesity and the development of age-related macular degeneration, cataracts, glaucoma, and diabetic retinopathy.

The researchers noted that the public is largely unaware of this link, despite the evidence. If more people knew about the risk, they said, it might motivate them to try to shed some extra weight.

How Does Obesity Impact The Eyes?

A body mass index (BMI) of 25-30 is considered overweight and any BMI over 30 is considered obese. Recent studies indicate that a handful of ocular diseases can now be added to the list of medical conditions associated with an elevated BMI.

Diabetic retinopathy, floppy eyelid syndrome, retinal vein occlusions, stroke-related vision loss, and age-related macular degeneration are all risk factors of obesity.

While the cause is not yet certain, researchers believe this may be due to the peripheral artery disease prevalent among people who are obese. When the tiny blood vessels around the eyes are compromised, they may have trouble delivering oxygen and other nutrients to the eye area.

Obesity is also a risk factor for developing cataracts (the clouding of the eye’s natural lens). Poor nutrition or high blood sugar levels, which are commonly found in people with obesity, may contribute to the cloudiness.

Although obesity may contribute to cataract formation, losing weight may not significantly reduce the risk of developing them, partly because cataracts are also a common consequence of aging, whatever one’s weight.

Additionally, morbid obesity is associated with higher inner eye pressure, which may increase one’s risk of glaucoma and glaucomatous optic neuropathy — leading causes of vision loss and blindness. Morbid obesity is defined as having a BMI of 40 or above, or 35 and above with health conditions like high blood pressure or diabetes.

Stay Active, Healthy, and Have Regular Eye Exams

An active lifestyle and a nutritious diet can help you maintain a healthy weight and improve overall physical and eye health. Try to include several key nutrients into your diets, such as vitamins C and E, zeaxanthin, omega-3, zinc, and lutein, as they may help delay or prevent certain eye diseases.

While a balanced diet and regular exercise significantly increase your chance of living a healthy life, it’s also crucial to have regular eye exams. A comprehensive eye exam with Dr. Moshe Roth and Dr. Steffani Tiomno can help detect the onset of ocular disease and ensure the earliest and most effective treatment to preserve your gift of sight.

Don’t hesitate to call Family Eye Care in Old Bridge with any questions or concerns regarding your vision or eye health — we’re here for you.

Many eye diseases can be quickly and easily diagnosed during a Comprehensive eye exam, Pediatric eye exam and Contact lens eye exam. If you were diagnosed with an eye disease, such as Cataracts, Astigmatism, Pink Eye or conjunctivitis Myopia or Nearsightedness , Glaucoma, Macular degeneration, Diabetic retinopathy, or Dry eye, you may be overwhelmed by the diagnosis and confused about what happens next. Will you need medications or surgery – now or in the future? Is LASIK eye and vision surgery an option for you ? Our Old Bridge eye doctor is always ready to answer your questions about eye disease and Contact lenses.

Book an eye exam at Family Eye Care eye clinic near you in Old Bridge, New Jersey to learn more about your candidacy for contact lenses and which type is right for you. Call 732-393-8636

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Is it possible to prevent Macular Degeneration?

Doctors aren’t sure how to prevent macular degeneration. Research suggests that ultraviolet light (and possibly blue light) factors into the problem, so sunglasses could be very beneficial.
My doctor says I have a cataract, but he wants to wait a while before removing it. Why?’

A cataract usually starts very small and practically unnoticeable but grows gradually larger and cloudier. Your doctor is probably waiting until the cataract interferes significantly with your vision and your lifestyle. You need to continue to visit your eye doctor regularly so the cataract’s progress is monitored. Some cataracts never really reach the stage where they should be removed. If your cataract is interfering with your vision to the point where it is unsafe to drive, or doing everyday tasks is difficult, then it’s time to discuss surgery with your doctor.
What exactly is glaucoma?

Glaucoma is a condition in which the eye’s intraocular pressure (IOP) is too high. This means that your eye has too much aqueous humor in it, either because it produced too much, or because it’s not draining properly. Other symptoms are optic nerve damage and vision loss. Glaucoma is a silent disease that robs the patient of their peripheral vision. Early detection is very important.
What is diabetic retinopathy?’

Doctors aren’t sure how to prevent macular degeneration. Research suggests that ultraviolet light (and possibly blue light) factors into the problem, so sunglasses could be very beneficial.

Why You Regularly Need to Replace Your Sunglasses

Did you know that sunglasses, or at least sunglass lenses, regularly need to be replaced?

According to a study conducted at the University of São Paulo, the UV protection that sunglasses provide deteriorates over time. You may adore your current ones, but if you’ve been rocking those shades for two or more years, it might be time to get a new pair.

In addition to the UV-blocking properties, anti-reflective and anti-scratch coatings wear down, and the frame material may become brittle over the years, too. Even if you have the most durable sunglasses available, regular lens-replacement is the best way to ensure that your vision is maximally protected from the harmful effects of ultraviolet light.

UV Light and Sunglasses

The protective efficacy of your sunglasses comes in large part from the lens coating of dyes and pigments that reflect and absorb ultraviolet radiation. They create a barrier that prevents UV radiation from penetrating your eyes.

However, this protective coating can, and often does, break down over time. Wear and tear can cause an invisible web of tiny abrasions, compromising its UV-blocking power. Furthermore, the protective dyes and pigments aren’t able to absorb UV rays indefinitely; the more sunlight they’re exposed to, the more rapidly they’ll become ineffective.

A pair of shades worn on occasion and in mild conditions is likely to remain effective longer than a pair that is heavily used in a more intensely sunny environment. For example, if you spend long days on the water paddling, kayaking, or canoeing, the protective coating on your lenses will deteriorate more quickly than it would if you only wear your shades to go grocery shopping or sit in a cafe.

Why It’s Important to Protect Your Eyes From UV

Protecting your eyes from the sun is critical no matter where in the world you are, as UV exposure places you at risk for developing eye diseases like eye cancer, pterygium, and pinguecula — which can result in disfigurement and discomfort — as well as cataracts and macular degeneration — which cause vision loss and, in severe cases, blindness.

Even short-term overexposure can result in photokeratitis, a corneal sunburn. Symptoms include eye pain, swelling, light sensitivity, and temporary vision loss. Some people experience it when spending too much time boating or skiing without wearing eye protection. Snow and water can increase solar exposure because they reflect sunlight toward your face.

What to Look for When Getting New Sunglasses

When choosing new sunglasses, make sure they’re labeled 100% UV protection or UV400. Although most pairs sold in the United States and Canada offer this degree of protection, it’s still worth confirming before making the purchase. Keep in mind that factors like cost, polarization, lens color, or darkness don’t have much to do with the level of UV protection. Even clear prescription lenses can be UV protective.

It’s important to note that there is a lot of counterfeit sunwear in the marketplace. This is dangerous since counterfeit eyewear may not provide much-needed ultraviolet protection. So if the price of a renowned brand is too good to be true, it’s probably a fake.

The size and fit of the sunglasses is important. Bigger is definitely better if you spend a lot of time outdoors. Larger wrap-around eyewear is best if you regularly ski or spend many hours in the water, as this style blocks light from all directions.

To find out whether it’s still safe to wear your favorite shades, visit a Old Bridge eye doctor to determine whether your lenses still offer the right level of UV protection. It’s also a good opportunity to discuss prescription sunwear.

For more information about UV safety, or to get the perfect sunglasses tailored to your vision needs and lifestyle, contact Family Eye Care in Old Bridge today!

References

https://biomedical-engineering-online.biomedcentral.com/articles/10.1186/s12938-016-0209-7

Does Obesity Impact Eye Health?

Awareness about the dangers of obesity is at an all-time high, with TV shows like “The Biggest Loser” and health initiatives such as Michelle Obama’s “Let’s Move!”. These highlight the importance of fitness and good nutrition. The relationship between obesity and high blood pressure, stroke, and diabetes are well known. The damaging effects on eye health and vision may be less well known.

People who are clinically obese have an elevated risk of developing serious eye diseases; four major eye diseases that can cause blindness:

Macular Degeneration (AMD)
Cataracts
Glaucoma
Diabetic Retinopathy

How Does Obesity Contribute to Eye Disease?

A Body Mass Index (BMI) of 25 is considered overweight, and above 30 is regarded as obese. A high BMI is tied to several chronic systemic health conditions such as diabetes, cardiovascular disease, and stroke, among others. Research indicates that a number of eye diseases can now be added to that list.

Serious eye conditions such as Diabetic Retinopathy, Glaucoma, and Macular Degeneration are more common in individuals with obesity, as well as floppy eyelid syndrome, retinal vein occlusions, thyroid-related eye diseases, and stroke-related vision loss.

The connection between obesity and these eye diseases is likely due to the increased risk of peripheral artery disease. This occurs when the tiny blood vessels bringing oxygen to parts of your body like the feet, kidneys, and eyes become compromised.

Your eyes are particularly prone to damage from obesity because the blood vessels in the eyes (called arterioles) are easily blocked, since they’re extremely thin and small — as thin as ½ the width of a human hair!

Most people are not aware that obesity may increase the rate of developing cataracts, too. Cataracts are a clouding of the lens within the eye. In addition to age, cataracts develop with obesity, poor nutrition, gout, diabetes and high blood sugar levels.

A Healthy Lifestyle Can Reduce Your Risk of Ocular Disease

Knowing about the risk of vision loss may give those with a high BMI the extra motivational boost they need to lose weight. The good news is that a few lifestyle changes can reduce the associated risks.

An active lifestyle and a balanced, nutritious diet lower obesity and improve overall physical and eye health. Give your body a boost by incorporating important nutrients, such as vitamins C and E, zeaxanthin, omega 3, zinc, and lutein, many of which are found in green leafy and dark orange vegetables, as they have been shown to reduce the onset, progression, and severity of certain eye diseases.

We, at Family Eye Care in Old Bridge NJ, Can Help Keep Your Eyes Healthy

While a healthy diet and regular exercise greatly increase your chances of living a disease-free long life, they alone are not enough to ensure long term healthy eyesight. Regular eye exams in our office can help prevent or detect the onset of ocular disease, and maintain vision that is clear and comfortable.

If you have any questions or concerns regarding your vision or eye health, please call us at family eye Care in Old Bridge, NJ . We are here for you.