Managing Early Macular Degeneration: Tips and When to Seek Help - Ophthalmology

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Possible early stages of macular degeneration?


Following up on question 197046, as Dr.
Gao mentioned, I might already be experiencing macular degeneration, but since it is in the early stages, it may not be detectable during a dilated eye exam.
I would like to ask the doctor what I can do about my current condition, or what measures I can take to slow the progression of macular degeneration.
I still need to use the computer regularly, but I have changed my habits (for example, taking breaks every 30-40 minutes to do something else or resting my eyes).
I also avoid using my phone in dark places, and I have been consistently taking lutein, eating more dark green vegetables and fish, and scheduling regular check-ups.
My next appointment is at the end of the year, around November.
Is there anything else I can do in the meantime?
Additionally, I would like to ask the doctor what symptoms would necessitate a visit to the hospital before my next scheduled check-up.
The doctor previously mentioned that an increase in floaters or blurred vision should be monitored.
Should I also be particularly attentive to any distortion or wavy vision in one eye? If I experience wavy vision in both eyes, should I go to the hospital immediately or to the emergency room? Or should I not be overly anxious and continue my normal life, as long as I pay attention to the aforementioned symptoms? I tend to be an anxious person, and I have had high myopia for a long time without realizing the need for regular check-ups until my first one in early April this year.
Unfortunately, the doctor's attitude during that visit was quite frustrating, which led me to seek a second opinion from another doctor at the end of May.
Thank you, doctor, for taking the time to read my questions; I always feel a bit more at ease after reading your responses!

Xiao Xiao, 30~39 year old female. Ask Date: 2023/06/02

Dr. Gao Pilin reply Ophthalmology


Hello: Regarding macular degeneration, you have already taken some good measures to maintain your eye health, such as changing your computer usage habits, avoiding using your phone in dim light, consuming lutein, and eating dark green vegetables and fish.
These are excellent methods to keep your eyes healthy and slow the progression of the disease.
In addition to these methods, you may consider the following measures: 1.
Maintain a healthy lifestyle: A balanced diet, regular exercise, and adequate sleep are important for preserving eye and overall health.
2.
Eye protection: Wear appropriate sunglasses in bright sunlight to protect your eyes from UV damage.
Additionally, use suitable safety goggles to shield your eyes from external injuries.
3.
Avoid smoking: Smoking has been shown to increase the risk of eye diseases, including macular degeneration.
4.
Manage chronic diseases: Some chronic conditions, such as hypertension and diabetes, are associated with macular degeneration.
If you have been diagnosed with these diseases, please follow your doctor's instructions to manage your condition.
As for when to seek medical attention, it is advisable to seek help sooner if you notice the following conditions before your next regular check-up: 1.
Sudden vision loss or blurriness.
2.
New symptoms such as flashes, floaters, or dark areas.
3.
Eye pain, redness, or inflammation.
4.
Sudden changes in vision, such as objects appearing distorted or wavy.

Reply Date: 2023/06/02

More Info


Managing early macular degeneration can be a daunting task, especially when you're trying to balance your daily activities with the need to protect your vision. It’s great to hear that you’re already taking proactive steps to manage your condition, such as adjusting your computer usage habits, incorporating more leafy greens and fish into your diet, and regularly taking lutein supplements. Here are some additional tips and insights on how to manage early macular degeneration and when to seek further medical help.


Lifestyle Modifications
1. Dietary Adjustments: Continue focusing on a diet rich in antioxidants. Foods high in vitamins C and E, zinc, and omega-3 fatty acids can be beneficial. Leafy greens (like spinach and kale), nuts, seeds, and fatty fish (like salmon and mackerel) are excellent choices. The AREDS (Age-Related Eye Disease Study) formula suggests that a combination of these nutrients can help slow the progression of macular degeneration.

2. Regular Eye Exams: Since you have a history of high myopia and potential macular degeneration, regular eye exams are crucial. Make sure to keep your appointments and communicate any changes in your vision to your eye care provider.

3. Protect Your Eyes: Wearing sunglasses that block UV rays can help protect your eyes from further damage. Blue light blocking glasses may also be beneficial, especially if you spend a lot of time on digital devices.

4. Visual Aids: If you find that your vision is becoming more challenging, consider using magnifying glasses or other visual aids to help with reading and other tasks.

5. Exercise: Regular physical activity can improve overall health and may have a positive impact on eye health as well. Aim for at least 30 minutes of moderate exercise most days of the week.


Monitoring Symptoms
You mentioned being aware of symptoms like increased floaters or blurred vision. Here are some specific signs to watch for:
- Increased Floaters: If you notice a sudden increase in floaters or flashes of light, it’s essential to seek medical attention promptly, as this could indicate a retinal detachment or other serious issues.


- Distorted Vision: If you experience any significant changes in your vision, such as straight lines appearing wavy or distorted (a condition known as metamorphopsia), this warrants immediate consultation with your eye doctor.

- Loss of Central Vision: If you notice a dark or empty spot in the center of your vision, this could be a sign of more advanced macular degeneration.


When to Seek Help
While it’s essential to remain vigilant, it’s equally important not to let anxiety overwhelm you. Here are guidelines for when to seek help:
- Immediate Attention: If you experience sudden changes in vision, such as a significant increase in floaters, flashes of light, or a sudden loss of vision, you should seek emergency medical attention.

- Routine Check-ups: Continue with your scheduled check-ups, and if you notice any new symptoms or changes in your vision, don’t hesitate to contact your eye care provider sooner.

- Mental Health: Managing a chronic condition can be stressful. If you find that your anxiety is affecting your daily life, consider speaking with a mental health professional who can help you develop coping strategies.


Conclusion
It sounds like you are already on the right track with your proactive approach to managing early macular degeneration. Continue to monitor your symptoms closely and maintain open communication with your eye care provider. Remember, while it’s important to be aware of potential changes in your vision, it’s equally important to maintain a balanced perspective and not let anxiety dictate your daily life. Regular check-ups and a healthy lifestyle can significantly contribute to managing your condition effectively.

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