Age-Related Macular Degeneration
Mrs. G has noticed a gradual decline in her central vision over the past year. She initially attributed this change to normal aging but became concerned when reading and recognising faces became increasingly difficult. She also reported seeing wavy lines and dark spots in the centre of her vision.
Mrs. G visited a local clinic after her vision problems worsened. Her symptoms included blurred central vision and difficulty with activities that require fine detail, such as reading and sewing. She had no significant history of trauma or eye infection.
A comprehensive eye examination revealed significant central vision loss. Fundoscopic examination showed signs consistent with age-related macular degeneration (AMD), including drusen deposits and pigmentary changes in the macula. There were no signs of retinal detachment or other secondary eye conditions.
Mrs. G was diagnosed with age-related macular degeneration, specifically the dry form, which is the most common type and involves gradual deterioration of the macula.
Mrs. G was advised on lifestyle modifications to help slow the progression of AMD, including dietary changes rich in antioxidants and vitamins, and smoking cessation. She was also given visual aids to assist with daily tasks and referred to a specialist for possible participation in clinical trials exploring new treatments.
Mrs. G’s vision continued to decline slowly, but with the recommended interventions, she managed to adapt her lifestyle and use available resources to maintain her independence and quality of life. Her case underscores the need for early detection and management of age-related macular degeneration to help mitigate its impact on daily living.
a). Sudden vision loss
b). Severe eye pain
c). Gradual decline in central vision and difficulty with detail tasks
d). Peripheral vision loss
a). Retinal detachment
b). Drusen deposits and pigmentary changes in the macula
c). Corneal opacity
d). Glaucomatous cupping
a). Wet AMD
b). Dry AMD
c). Congenital macular degeneration
d). Traumatic macular degeneration
a). Immediate surgery
b). Dietary changes, smoking cessation, and visual aids
c). Systemic antibiotics
d). High-dose corticosteroids
Answers
- c). Gradual decline in central vision and difficulty with detail tasks
- b). Drusen deposits and pigmentary changes in the macula
- b). Dry AMD
- b). Dietary changes, smoking cessation, and visual aids