Are AMD & Cataract Surgery Compatible?

 

Age-Related Macular Degeneration (AMD) is a frustrating condition that diminishes your ability to see detail clearly. When you combine AMD’s loss of central vision with the blurriness from cataracts, you have a recipe for significant vision loss. Can you have cataract surgery to restore some clear vision if you have macular degeneration? The answer is probably yes, but there are some factors that need to be considered first.

Which Condition Impacts Your Vision Most: Cataracts or Macular Degeneration?

Before recommending cataract surgery, your cataract surgeon will want to find out whether most of your vision loss is caused by the cataract or by the AMD. Some people who have a lot of damage to their retina from macular degeneration won’t see much or any vision improvement from cataract surgery. Your ophthalmologist will examine your retina and take photographs to assess its condition. They will also take a look at how cloudy your lens is to see how much vision the cataract may be blocking. And before recommending cataract surgery, your surgeon will check your vision to see if a change in your eyeglass prescription or even low vision magnifiers may be enough to see better. Having cataract surgery with AMD may not restore your ability to do up-close tasks, such as reading. Removing the cataract will allow more light to enter the eye, but that may not be enough for good central vision. We need a clear lens and a healthy retina for sharp vision.

Does Having Cataract Surgery Make Macular Degeneration Worse?

Depending on the type of AMD you have, the answer is not fully known at this point.

If you have the “dry” form of AMD, there is no evidence that cataract surgery will make your AMD worse. However, if you have the “wet” form, it is not clear if cataract surgery will negatively affect your macular degeneration. Cataract surgery causes inflammation inside the eye, which in theory could make wet AMD worse. However, results of multiple studies have been inconsistent, so we don’t know for sure if cataract surgery worsens wet AMD.

Fortunately, for those struggling with the double whammy of vision loss from both AMD and cataracts, studies have shown that cataract surgery can improve vision in those who are candidates for the procedure. You and your eye doctor can discuss your options for achieving better sight. Please call us at D’Ambrosio Eye Care at 800-325-3937, visit D’Ambrosio Eye Care, or Facebook so that we can help.

 

D'Ambrosio Eye Care provides eye care for patients throughout greater Boston, central and western Massachusetts with office locations at 479 Old Union Turnpike, Lancaster, Massachusetts 01523, 865 Merriam Avenue, Suite 119, Leominster, Massachusetts 01453, 100 Powder Mill Road, Acton, Massachusetts 01720, 413 Main Street, Athol, Massachusetts 01331, 74 Main Street, Gardner, Massachusetts 01440 and 255 Park Avenue, Suite 606, Worcester, Massachusetts 01609.

Visual Hallucinations & AMD

 

Vision loss from Age-Related Macular Degeneration (AMD) or other causes is known to cause some people to see faces or shapes that aren't really there. But a new study suggests these hallucinations, known as Charles Bonnet Syndrome, affect many more people with AMD than previously thought. More than 12% of people with AMD experience visual hallucinations, the study found. The actual number may be even higher. On average, people experience these hallucinations on and off for about 3 years. Those who experience hallucinations tend to see multiple types of images, particularly people and faces. Many people keep quiet about these phantom images for fear they'll be labeled with dementia or a psychiatric condition. Their hesitancy to speak up could explain why hallucinations were thought to be relatively uncommon until now.

Why Do People with Macular Degeneration Have Hallucinations

Hallucinations in people with vision loss do not stem from neurological problems. Rather, they occur when brain craves new images to process. Finding none (due to vision loss), the brain resorts to making up images or recalling images from memory.

These phantom images may be simple lines, shapes, flashes of light or more complex images of faces, people or animals. They can occur at any time and last for seconds, minutes or hours. Sometimes the images remain still, other times they move around. People with significant vision loss, especially loss of central vision, are most often affected.

How to Deal with Visual Hallucinations

There is no cure or treatment for Charles Bonnet Syndrome, but there are strategies to stave off episodes and cope with hallucinations that occur. If you feel you are seeing things that aren’t really there, reach out to your doctor. They will rule out other causes of visual hallucinations like neurological conditions or medication-related side effects. If your doctor thinks you have Charles Bonnet Syndrome, they will give you techniques to manage the hallucinations. These include:

• Changing Your Lighting Conditions and Environment
• Blinking Frequently or Moving Your Eyes Side-to-Side
• Sleeping, Exercising and/or Relaxing, as Fatigue and Stress can Exacerbate Hallucinations

If you have AMD and experience visual hallucinations please call us at D’Ambrosio Eye Care, or Facebook so that we can help.

D'Ambrosio Eye Care provides eye care for patients throughout greater Boston, central and western Massachusetts with office locations at 479 Old Union Turnpike, Lancaster, Massachusetts 01523, 865 Merriam Avenue, Suite 119, Leominster, Massachusetts 01453, 100 Powder Mill Road, Acton, Massachusetts 01720, 413 Main Street, Athol, Massachusetts 01331, 74 Main Street, Gardner, Massachusetts 01440 and 255 Park Avenue, Suite 606, Worcester, Massachusetts 01609.