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Age Related Macular Degeneration and Your Central Vision

Did you know that age-related macular degeneration (AMD) is one of the leading causes of vision loss and blindness among adults aged 50 and above?

AMD occurs when the part of the retina responsible for your sharp central vision, the macula, begins to deteriorate. Central vision is the visual field that you rely on to focus on objects clearly, to read or to drive. As AMD affects your macula, the condition often results in gradual central vision loss. AMD does not cause complete blindness, as those affected by the condition are able to see by relying on their peripheral or side vision.

AMD is usually diagnosed as either dry or wet. The dry form is more common than wet macular degeneration. In dry AMD, light-sensitive cells in the macula gradually break down and slowly begin to blur central vision in the affected eye. Over time, central vision in the affected eye can be slowly lost as the macula begins to further deteriorate.

In its wet form, macular degeneration can lead to more severe vision loss, as the more advanced stage of the disease causes new blood vessels to grow beneath the retina. These new blood vessels are delicate and can leak blood and fluid, causing damage and scarring of the retina, leading to further vision loss.

The early and intermediate stages of AMD usually occur without symptoms. Only a comprehensive dilated eye exam can detect AMD. The eye exam includes a visual acuity test that measures how well you see, a dilated eye exam and the use of an Amsler grid. An Amsler grid consists of a grid of straight lines with a central focus point in the center. Someone with AMD may see the central area darkened or will report that the lines are wavy. This is a very effective and easy way for you and your eye practitioner to monitor changes in your central vision.

Aside from age, other risk factors that can increase your chances of developing AMD include smoking, high blood pressure, UV exposure and family history of the disease. It is important to maintain a healthy lifestyle, which includes quitting smoking, exercising regularly and maintaining normal blood pressure and cholesterol levels. Eating a diet rich in colorful vegetables and fish can boost the vitamins that naturally protect the eyes from AMD. We may recommend vitamin and mineral supplements based on your risk factors and level of developing macular degeneration.

Early detection of AMD is the best way to control the condition and reduce damage to your eyesight. That's just one of the reasons why it's so important to get a comprehensive eye exam from an eye care professional at least once a year.

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Dear Patients,

As of Tuesday evening, March 17th, the CDC has recommended that all routine eye care be deferred until further notice, in order to slow the transmission of COVID-19 through our community.

Please be assured that we are still available to triage all urgent and emergent calls during this challenging time.

We are officially closing our offices effective at 3:00pm today, March 20 th and tentatively plan to reopen on April 1 st . We are rescheduling all routine visits and are available by phone to triage ocular emergencies.

Our phone lines will be open:

Monday the 23 rd and 30 th : 10:00am to 5:00pm

Tuesday-Friday (24 th -27 th and the 31 st ): 9:00am to 3:00pm

What does this mean?

1) If you are scheduled for an annual eye examination we will tentatively reschedule you starting April 1 st

2) If you are running out of a medication please contact us and we can transmit a refill electronically to your pharmacy.

3) If you have an issue which cannot wait for an office visit, contact us and we will schedule a Telephone appointment with one of our doctors. Medicare has temporarily relaxed its telehealth rules to allow this type of communication during the pandemic crisis. Other insurers may follow suit and allow for reimbursement of virtual care costs. The consultation must be initiated at your request.

4) If you have an ocular emergency we are, as always, available to help you at any time. Call 1-850-455-0120 andwait for instructions at the end of the message.

Dr. Leonard or Dr. Charbonneau will discuss your condition by phone and make the best treatment decision for you on a one on one basis.

5) Please remember that 80% of COVID-19 cases are mild and resolve within a week. However, if you feel your symptoms are worsening, call ahead before visiting your doctor’s office or emergency department and tell them you have or may have COVID-19. This will help the office protect themselves and other patients.

The CDC has many wonderful resources. Arming yourself and your family with clear information will help you avoid undue stress.

https://bit.ly/2WxWYIe and https://bit.ly/33FBlXZ

Together we will weather this storm.

With sincerest wishes for your continued good health we remain at your service,

Dr. Clare L Leonard

Dr. Mary Charbonneau