How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask Dr. Rick Your Own Question
Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 10892
Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
48069651
Type Your Eye Question Here...
Dr. Rick is online now
A new question is answered every 9 seconds

Symptoms and treatment for Macular Degeneration

This answer was rated:

Symptoms and treatment for Macular Degeneration

Dr. Rick :

Hi. I'm online and happy to answer your question today.

Dr. Rick :

Do you know if you were diagnosed with the wet or the dry type of macular degeneration?

Dr. Rick :

The main symptom of macular degeneration (armd) is loss or distortion of central vision.

Dr. Rick :

Good Morning. Welcome to chat.

Dr. Rick :

I am a retina specialist.

Dr. Rick :

Are you there?


We have been experiencing technical difficulties with the chat system. Please allow me to retype my chat here for your review:

Dr. Rick : Hi. I'm online and happy to answer your question today.
Dr. Rick : Do you know if you were diagnosed with the wet or the dry type of macular degeneration?
Dr. Rick : The main symptom of macular degeneration (armd) is loss or distortion of central vision.
Dr. Rick : Good Morning. Welcome to chat.
Dr. Rick : I am a retina specialist.
Dr. Rick : Are you there?
Concerning the dry type of macular degeneration:

Unfortunately there is no way to rid yourself of the dry type of macular degeneration once it has started. The best thing you can do is to eat well and live a healthy lifestyle as you have already begun. Also, it is very important to stop smoking if you do so.

Lastly, a special formulation of multi-vitamins was proven in the Age-Related Eye Disease Study to slow the progression of dry macular degeneration and decrease the incidence of severe vision loss in macular degeneration. To that end, I would recommend buying one of these supplements (they can be found at any drug store over-the-counter) and start using them. There are many brand names available.ocuvite, and Icaps are some examples.

All of the ocular vitamins that follow the formula recommended in the AREDS study are of equal efficacy; but if you have smoked before in your life, do not take any of these supplements that have Vitamin A (also called beta-carotene) in them because that can increase your risk for lung cancer. There are formulations available without the high doses of Vitamin A for those people who smoke.

Concerning Wet age related macular degeneration:

Before we had lucetis, avastin or afibercept the only treatment we had for subfoveal (in the center of your vision) wet AMD was laser, either the "hot" type or the "cool" type (photodynamic therapy). Now with these drugs we have something that can 'dry up' wet AMD without destroying the photoreceptors....in other words, preserve vision.
Now. To answer your question: The injections do "stop" wet AMD in the sense that they stop the leakage.....however, those nasty, leaky blood vessels tend to come back, hence more injections. And the cycle goes round and round.

In many cases the injections preserve vision for a long time. Forever? Maybe in some lucky patients, but in many the recurring leakage slowly damages the photoreceptors and vision declines.
That a being said, these three drugs are the best thing to happen to my ability to treat patients with wet AMD since the invention of fluorescein angiography.

What is the take home message in a nut shell? Yes it can still progress, but sometimes it doesn't. The hope is that, with the help of your retina specialist and Avasitin/lucentis, you will get hit by a bus and not need your eyes anymore before you lose significant vision. :o)

Does this make sense to you?


Please remember the top 3 ratings are positives [Excellent service is my goal] and this is how we are compensated. Please don't click "bad" or "poor" service as this leaves me negative feedback. If you aren't 100% satisfied, just click "reply." I will be happy to discuss your issue in more depth and do everything I can to provide you with the information you require.
Otherwise, a high positive rating is very much appreciated, bonuses are great, and find me anytime for follow up.

Let me know if you have further questions.

I'm sorry about the technical problems we had with the chat system. As you can see I have answered your question.

Is there anything else you would like to ask me? If so, just use the reply button.

Have a good day.
Dr. Rick and other Eye Specialists are ready to help you