As people age, vision naturally declines and the risk of eye conditions increases. This trend includes age related macular degeneration, or AMD, which typically emerges in people over 50.
AMD is one of the leading causes of vision loss among adults over 60 and impacts millions of Americans. According to the American Macular Degeneration Foundation, the toll is measurable and real.
AMD degrades the ability to read, drive and recognize faces. In advanced stages the loss can erode independence and mobility.
There is no cure for AMD, so experts emphasize early detection and prevention. This is a practical posture given the limited treatment options.
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"We are moving toward a world where we don't just react to vision loss — we can intercept it and take measures to delay what used to be inevitable for many patients," Dedania said. This approach reflects a broader commitment to prevention and personal responsibility.
Smoking is a major risk factor and can significantly impact the risk of vision loss.
"The oxidative stress from smoking can really affect the retinal cells, and this is what increases someone's risk of macular deterioration," The habit can also speed up AMD's progression and reduce the effectiveness of treatments.
Quitting smoking matters, especially if there is a family history of AMD. "That’s why quitting as early as possible is so important."
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Eating a healthy diet can impact the progression of AMD and other diseases. Dedania recommends leafy greens and a Mediterranean style diet to support a healthy gut microbiome.
AREDS2 is a specific combination of vitamins and minerals used in the Age Related Eye Disease Study 2. In clinical trials AREDS2 slowed progression of AMD in people with intermediate or late stages, according to the National Eye Institute.
While patients can take these supplements early on, we really only have data to show that it helps after they've already reached the intermediate stage, Dedania noted.
While taking the supplement very early on may not significantly impact risk, it is safe to start anytime as long as patients aren't doubling up on their vitamins.
Regular movement is another core pillar of health that can help slow the progression of disease. "Exercise falls into the overall balance of a healthy lifestyle," Dedania said, and studies show that it also reduces oxidative stress, which can slow the progression of macular degeneration.
Seeing your eye doctor for routine screenings could be the key to spotting an issue before it’s too late. "Patients may have macular degeneration and they don't know," Dedania said.
It is important for patients 50 and above to have a general eye exam and come equipped with the knowledge of whether they have family members with macular degeneration," she advised.
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