Dry macular degeneration

Overview

Dry macular degeneration is a common eye disorder among people over 50. It causes blurred or reduced central vision due to the breaking down of the inner layers of the macula (MAK-u-luh). The macula is the part of the retina that gives the eye clear vision in the direct line of sight.

Dry macular degeneration may start in one eye before developing in the other eye. It also may develop in both eyes at the same time. Over time, vision may worsen and affect the ability to do things, such as read, drive and recognize faces. But having dry macular degeneration doesn’t mean you’ll lose all your sight. Vision loss is typically central, and people retain their peripheral vision. Some people have only mild central vision loss. In others, it can be more severe.

Early detection and self-care measures may delay vision loss due to dry macular degeneration.

Symptoms

Dry macular degeneration symptoms usually develop gradually and without pain. They may include:

  • Visual distortions, such as straight lines seeming bent.
  • Reduced central vision in one or both eyes.
  • The need for brighter light when reading or doing close-up work.
  • Increased difficulty adapting to low light levels, such as when entering a dimly lit restaurant or theater.
  • Increased blurriness of printed words.
  • Difficulty recognizing faces.
  • A well-defined blurry spot or blind spot in the field of vision.

Dry macular degeneration can affect one or both eyes. If only one eye is affected, you may not notice any changes in your vision. This is because your good eye may compensate for the affected eye. And the condition doesn’t affect the side vision, so it does not cause total blindness.

Dry macular degeneration is one of two types of age-related macular degeneration. It can progress to wet macular degeneration, which is when blood vessels grow and leak under the retina. The dry type is more common, but it usually progresses slowly over years. The wet type is more likely to cause a relatively sudden change in vision resulting in serious vision loss.

When to see a doctor

See your eye doctor if:

  • You notice changes, such as distortion or blind spots, in your central vision.
  • You lose the ability to see fine detail.

These changes may be the first sign of macular degeneration, particularly if you’re over age 60.

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