Macular Degeneration Treatment: Key Questions and Concerns - Ophthalmology

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Understanding macular degeneration, particularly in the context of high myopia, is crucial for managing symptoms and preventing further deterioration of vision. Your situation, characterized by a history of dry and now wet macular degeneration, raises several important questions regarding treatment, symptom management, and lifestyle adjustments.


Treatment and Symptom Management
1. Understanding Your Current Treatment: You mentioned receiving an injection of Lucentis, which is a common treatment for wet age-related macular degeneration (AMD). This medication works by inhibiting vascular endothelial growth factor (VEGF), which is responsible for the abnormal blood vessel growth associated with wet AMD. The fact that your symptoms improved significantly after the first injection is a positive sign. The local physician's decision to monitor rather than immediately administer a second injection is also reasonable, especially if your OCT results showed normal retinal thickness.

2. Duration of Symptoms: The timeline for the resolution of symptoms such as visual distortion and shadowing can vary widely among individuals. Some patients may notice improvements within weeks, while others may take months. Given that your OCT scan showed normal retinal thickness, it is encouraging, but it is essential to continue monitoring your symptoms closely. If you experience any worsening, it is crucial to seek further evaluation, as additional treatment may be necessary.

3. Additional Treatments: Since your symptoms have not completely resolved, it is wise to remain vigilant. If your condition worsens, a second injection of Lucentis may be warranted. Additionally, some patients benefit from other treatments such as photodynamic therapy or laser treatments, depending on the specifics of their condition. Regular follow-ups with your ophthalmologist are essential to determine the best course of action.


Lifestyle Adjustments and Precautions
1. Daily Life Considerations: With high myopia and macular degeneration, it is important to take precautions to protect your vision. Here are some recommendations:
- Lighting: Ensure that your living and working spaces are well-lit to reduce strain on your eyes.

- Screen Time: Limit prolonged screen time and take regular breaks to reduce eye fatigue.

- Nutrition: A diet rich in antioxidants, particularly leafy greens, fish high in omega-3 fatty acids, and fruits, may support eye health.

- UV Protection: Wear sunglasses that block UV rays when outdoors to protect your eyes from further damage.

2. Preventing Further Deterioration: Regular eye exams are crucial, especially given your history of macular degeneration. Early detection of any changes can lead to timely interventions. Additionally, managing overall health, including controlling blood pressure and cholesterol levels, can positively impact eye health.


Pregnancy Considerations
Regarding your plans for pregnancy, it is essential to discuss this with your healthcare provider. Generally, there are no strict contraindications for pregnancy after receiving Lucentis, but it is advisable to wait for a period (often around one month) to allow the medication to clear from your system. However, this can vary based on individual circumstances, so consulting with both your ophthalmologist and obstetrician is crucial for personalized advice.


Conclusion
In summary, your understanding of your condition and treatment appears to be on the right track. Continue to monitor your symptoms and maintain regular communication with your healthcare providers. If language barriers present challenges, consider seeking assistance from a translator or a bilingual healthcare provider to ensure clear communication regarding your treatment and any concerns you may have. Your proactive approach to managing your eye health is commendable, and with careful monitoring and appropriate treatment, you can work towards maintaining your vision and quality of life.