Macular degeneration – Causes, symptoms, and treatments

Macular degeneration – Causes, symptoms, and treatments

Macular degeneration causes a loss of central vision in both eyes. It is a painless condition that normally affects people who are older than 50 years.

It is commonly known as Age-related Macular Degeneration (AMD). There are also rare cases of Juvenile Macular Degeneration, which affects young people. Certain genetic disorders are the cause of the development of juvenile macular degeneration.

When a person suffers from Macular Degeneration, the central vision is affected. So, there is difficulty in focusing on objects that lie straight ahead. The result is that everything appears blurred, it becomes difficult to read, the faces of people appear blurred and colors of objects around you look pale and dull.

Causes
The exact cause for macular degeneration isn’t known yet. Aging can cause a person to develop this condition. In older people, the macula, which is a central spot in the retina, develops a problem and causes age-related macular degeneration.

AMD can develop as wet AMD or dry AMD.

Dry AMD
The macula has light-sensitive cells that gradually break down as you age. As the light-sensitive cells reduce in number, the central vision deteriorates. Waste products start to accumulate in the retina and cause small deposits called drusen. As the drusen increases in size, vision problems arise. Drusen is a characteristic feature of dry AMD.

Wet AMD
Tiny blood vessels form underneath the macula attempt to clear the drusen from the retina. These blood vessels cause fluid and blood to leak into the macula, leading to scarring and macular damage. This can lead to serious symptoms like blind spots and distorted vision.

Symptoms

  • Macular degeneration escapes attention, till you experience diminished vision. The primary symptom is blurred central vision.
  • Faces, writing, and images get distorted in the central view.
  • You lose visual acuity. You cannot see the fine details, and it becomes difficult for you to read and drive.
  • Contrast sensitivity is lost. It gets tough to distinguish objects against a background
  • Those suffering from dry age-related macular degeneration, experience symptoms like—hazy vision, blurred text, dull colors, difficulty in identifying faces and the need for more light while reading.
  • For those with wet AMD, the deterioration in central vision worsens. Other symptoms like blind spots, visual distortions and hallucinations also manifest.

Once the symptoms manifest, it’s time to make an appointment with an ophthalmologist.

Risk Factors
While the triggering cause for AMD is unknown, there are some factors that increase the risk of developing AMD. The family history of AMD and advancing age are the major factors that can increase the risk of suffering from macular degeneration. Other risk factors include—alcohol consumption, smoking, excessive exposure to sunlight, ethnicity, obesity, high blood pressure and heart disease.

New Treatment for Macular Degeneration
Age-related macular degeneration has no cure. The progress of vision deterioration is slow in dry AMD. You can get help in the form of large print books, more lighting and by the use of a magnifying lens. Additionally, a diet rich in Vitamins A, C, and E improves eye health and slows down the rate of progress of dry AMD.

Wet AMD has two treatment options—anti-VEGF medication and laser surgery. Laser surgery destroys the abnormal blood cells, and anti-VEGF medication prevents the new blood vessel growth.

Improved medical research has led to the development of two new surgical techniques to treat wet AMD. These new treatment for Macular Degeneration are better than laser surgery. These are macular translocation and lens implantation. In macular translocation, the macula is repositioned on the eyeball which is free from the abnormal blood vessels.

During lens implantation, the natural lens is removed and replaced by an artificial lens which offers a better central vision.

Another promising therapy that is doing rounds and under clinical trials is—stem cell therapy. Stem cells have the capability to transform into any type of organ cells. These stem cells can be used to create retinal cells and can be transplanted in the eye.

Prevention
While macular degeneration often is caused due to the natural aging process, some preventive measures can help to delay the onset. In case, you find any symptoms of AMD; it’s best to schedule an eye examination.

Quit smoking. Eat a balanced diet that has a lot of leafy greens. Protect your eyes from harmful UV rays. Look at the Amsler’s grid and check your vision every day. The Amsler’s grid is a pattern of straight lines, like in a checkerboard. Gazing at it can help you spot any changes in your vision.

Include supplements that contain zinc and antioxidants. Such supplements are proved to lower the risk of AMD. If you’re 65 years and older, check for AMD, when you visit your eye doctor for a routine eye examination.

An early identification of the symptoms can initiate timely treatment, and help to prevent deterioration in your vision.

Regular eye check-ups are a good way to diagnose any problems concerning the vision.

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5 best contact lenses to buy in 2021

Contact lenses have evolved. Initially, they were meant only for people with nearsightedness, farsightedness, or some other type of vision impairment. They could do what glasses did, only in a more sophisticated and appealing way. Today, however, contact lenses can be used by anyone to enhance their vision or just for fashion. Regardless, here’s a definitive list featuring the best contact lenses of 2021 that you can buy today. Biotrue ONEday contact lensThis lens by Bausch & Lomb is an excellent choice if you put in long screen hours. It comes with Surface Active Technology that keeps your eyes 98% moisturized for up to 16 hours a day. This prevents itching and reduces the risk of long-term vision loss. Thanks to its unique peri-ballast design, the lens is a great option for patients with astigmatism. Acuvue Oasys with Hydraclear Plus contact lensesComfort is a big thing when it comes to contact lenses. The Acuvue Oasys, which was released in 2005, doesn’t just lay great emphasis on comfort but delivers as well. In 20 clinical studies, seven out of 10 patients said that the Acuvue Oasys was the most comfortable contact lens they had ever worn! It works on the patented Hydraclear Plus that makes you feel like you’ve just put the lenses on even after hours. Precision1This lens is made by Alcon, a Geneva-based American-Swiss company. After various studies, Alcon concluded that poor vision, poor comfort, and handling issues trigger users into switching lenses. Precision1 addresses these problems, with nine out of 10 patients in a trial reporting that the lens was comfortable, corrected vision, and was easy to handle. Dailies AquaComfort PlusAnother one of the best contact lenses of 2021 is the Dailies AquaComfort Plus. The AquaComfort PLUS technology used in this lens releases a moisturizing agent every time you blink. It keeps your eyes hydrated, keeps the lens in position, and prevents itching. The lens is made from nelfilcon A (31% polymer) and has a 69% water content. FreshLook One Day ContactsDisposable lenses don’t come any better than the FreshLook One Day Contacts. Like Dailies AquaComfort Plus, this lens also has 69% water content and is made from nelfilcon A (31% polymer). It boasts a three-in-one technology that mixes three colors into one, giving your eyes a natural color. There are multiple color options, enabling you to change it whenever you want.

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Hyperkalemia – 10 foods to avoid

Potassium plays a huge role in the health of our heart muscles and nerve cells. And high levels of this element in the blood cause hyperkalemia. If you consume meals high in potassium, your doctor may advise you to decrease portion sizes and concentrate on fruits and vegetables with a lower potassium content. Here is a list of foods rich in potassium that must be avoided if you have hyperkalemia. Yogurt and dairy products A serving of nonfat yogurt weighing eight ounces has roughly 625 mg of potassium, making it one of the dairy aisle's highest sources of potassium. Even reduced fat milk contains 366 mg of potassium in a glass of cow's whole milk. Ricotta and cottage cheese are also high in potassium. Goat cheese is a low potassium food, proving that not all cheeses are made equal. Likewise, About 131 milligrams of potassium may be found in a half cup of vanilla ice cream. Bananas When people consider foods high in potassium, bananas frequently come to mind. A banana normally contains 422 mg of potassium. Among all the fruit, bananas are athletes' favorite as they provide energy. However, it could be highly dangerous for someone suffering from hyperkalemia. Consult your doctor if you have hyperkalemia and stick to fruits such as apples and berries. Leafy vegetables About 420 milligrams of potassium can be found in only a half cup of cooked spinach. Raw spinach, young or mature, has roughly 167 mg per cup. Fennel, bok choy, beet greens, and Swiss chard are also high in potassium. You can opt for kale instead. Kale has more nutrients than these other dark leafy greens, but it has less potassium. 73 mg is present in one cup of raw kale. Fish Clams, which provide 534 mg of potassium in just 3 ounces, are the finest source of protein from seafood. Around three ounces of skipjack tuna offers 444 mg, another major source of potassium. One of the most popular fish, salmon, frequently has a lower potassium content. Keeping a check on what type of fish you are eating if you have hyperkalemia is a must. Kidney beans Beans are a balanced addition to any meal plan as they're rich sources of protein and fiber. However, according to data from the USDA, one cup of the kidney-shaped type has 713 mg of potassium. A half-cup of black beans has 489 mg of potassium. Avocado This creamy, green-fleshed fruit is packed with 690 mg of potassium and is high in fiber and heart-healthy lipids. Although it might seem good for your heart, you should avoid it if you have hyperkalemia. Potatoes Potassium is heavily concentrated in potatoes; 925 milligrams of potassium may be found in a baked potato. A three-ounce portion of french-fried potatoes has 470 mg of potassium and a lot of fat and calories. The potassium content in an ounce of potato chips is 465 mg. Indulging in fast foods like fries is adverse for those with hyperkalemia. Oranges A single orange has 240 mg of potassium, making it a food with a high potassium content. With 450 mg per 8 oz glass, orange juice is a more potent source of potassium. Fruits vary in their potassium content. Berries are a poor source of potassium and can be a decent substitute for oranges and orange juice. Another good option is apples. Dried fruits The nutrients in fruit, including potassium, that have been dried are concentrated. You get roughly 750 milligrams from half a cup of dried apricots. Also, even though raisins and dried plums make a fantastic snack, they should be avoided by someone with hyperkalemia. Legumes and beans Legumes are a significant source of potassium as well. White beans have the most, with 600 mg of potassium in a half cup. In half a cup serving, other legumes such as lima beans and pinto beans have between 300 and 350 mg.

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