11 million of U.S. citizens suffer from AMD right now, the number excerpted to rise to 22 million by 2050, with aging as its greatest risk factor.
Chances are that if you are here looking for the difference between dry and wet forms of age related macular degeneration, you are already aware of AMD to a certain level. However, a quick recap will only help improve your overall understanding of this degenerative eye disease.
What is Macular Degeneration?
Macular degeneration is a generic term encompassing a group of eye diseases affecting the retina, leading to progressive loss of the central vision (used for activities like reading). Though this never results in total blindness because it spares peripheral (side) vision, it affects a person’s ability to read, drive, recognize faces, color and contrast.
Age-related macular Degeneration is the leading cause of severe vision loss in elderly persons in developed world and accounts for one-third of cases of untreatable vision loss.
Since macular degeneration is known mainly to affect people aged 50 and above, it is also known as “age related macular degeneration”, abbreviated commonly as “AMD” or “ARMD”. Currently, no viable cure for AMD exists, with treatment endeavors focused only on stabilizing and expediting useful central vision for as long as possible.
In addition to specific medication, ophthalmologists also frequently recommend low vision aids, like glasses for macular degeneration, to serve this purpose.
Types of Age Related Macular Degeneration
AMD is classified into two major types:
- Dry Macular Degeneration (Dry AMD)
- Wet Macular Degeneration (Wet AMD)
Dry AMD VS Wet AMD?
Now, let’s have a look at how dry AMD and wet AMD differ from each other.
1. Dry Macular Degeneration (Non-neovascular AMD)
Dry AMD, also called non-exudative macular degeneration, is the most common type. accounting for about 90 percent of all AMD cases, though rarely leading to legal blindness.
Up to 90% of the total victims of macular degeneration can be suffering from the dry form of AMD, also known as non-neovascular or exudative AMD. In this eye disease, aging and thinning of macula takes place, which leads to collection of small pieces of protein and fat under the retina. Dry AMD initially targets one eye, but is quite likely to affect the other one with the passage of time. Any vision loss goes undetected through the earlier stages of this eye problem because the unaffected eye compensates for the other one without you noticing anything of significance. Loss of vision in dry AMD is quite gradual usually, but can also sometimes progress to the severe form of the disease, i.e. wet AMD.
2. Wet Macular Degeneration (Neovascular AMD)
Wet AMD, also called neovascular AMD only accounts for about 10% of the total macular degeneration cases, most of the legal blindness related to macular degeneration results from it.
Considered to be the severer form of AMD, wet macular degeneration makes up only about 10% of the total number of the victims of this eye condition. It affects the eye due to the leakage of blood and fluids under the retina resulting from the growth of new, fragile blood vessels, the process known as “choroidal neovascularization” or CNV. Wet macular degeneration is capable of inflicting graver and rapid harm to the retina compared to dry AMD. Another eye problem, severe nearsightedness also leads to a complication of CNV known as myopic macular degeneration or high myopia.
There is a very gradual deterioration of vision when AMD is the culprit. Most people fail to recognize any symptoms through the earlier progression of the disease. Slowly blurring vision (despite wearing glasses or contacts) can be considered as the main symptom of this eye disease in general.
Dry AMD Symptoms
Dry AMD symptoms might not surface for up to 10 years after the disease’s onset; sometimes, even longer if only one eye is affected.
When dry AMD symptoms appear eventually, they may include:
- Difficulty reading in low light conditions
- Recognition of people’s faces getting difficult
- Vision getting blurry while trying to read written or printed texts
- Visual function recovery getting slow after bright light exposure
- Colors appearing faded than earlier
- Vision getting hazier and less defined
Wet AMD Symptoms
- Among those with early AMD in one eye, where the other eye is not affected, around 1 in 20 will have advanced AMD after 10 years.
- Around 14 percent of people with early AMD in both eyes will have late AMD in one or both eyes after 10 years.
According to National Eye Institute:
Wet AMD can display all of the symptoms listed above for dry AMD as well as the following:
- Metamorphosia – the phenomenon of straight lines appearing wavy or crooked
- Central Scotoma – Central vision getting a blind spot, which can grow bigger if left untreated
- Appearance and growth of Wet AMD symptoms is much rapid compared to those of Dry AMD symptoms
Diagnosis of Age Related Macular Degeneration
Early detection remains one of the best ways to fight against the afflictions of AMD. Since this eye disease turns out to be asymptomatic through its early stages, it is quite imperative to take you regular eye exam.
This will help your eye doctor keep a better track of any critical health changes that can be related to your deteriorating eye health and lead you through appropriate course of action.
In fact, proactive approach of primary healthcare physicians can be a great help in a timely diagnosis of the disease. A primary care physician is well acquainted with a patient’s general health profile, recommending AMD high-risk patients to specialized eye doctors who can make a well informed diagnosis.
No seasoned ophthalmologist prefers establishing a final diagnosis without running the patient through a few critical tests like Amsler Grid, Fluorescein Angiography and Optical Coherence Tomography (OCT).
Age Related Macular Degeneration Treatment
Unfortunately, none of the treatments currently available for AMD are able to repair and restore the damage already caused by the disease; they merely serve to prevent or slow down the retinal damage. Moreover, different approaches are used to treat dry and wet AMD.
Dry AMD Treatment
This particular eye disease makes progress quite slowly, allowing most patients to live a reasonably active and productive life. Its treatments are focused on delaying its progression even further.
AREDS AND AREDS2 BASED TREATMENT
One of the best ways to delay (or sometimes even prevent) progression of AMD from intermediate to advanced stage is to resort to the use of a specialized combination of medications based on two well known research studies carried out by the “The National Eye Institute“, i.e. AREDS and AREDS2.
According to the findings of these studies, a specially designed high dose of specific antioxidants and zinc works well enough in countering the progression of intermediate AMD to advanced AMD, also helping with consequent vision loss.
Wet AMD Treatment
Three approaches are regarded as the most effective way of treating wet AMD, all aimed at ensuring no blood or fluid loss from the cluster of weak and fragile blood vessels growing underneath the retina.
- Laser Surgery
- Photodynamic Therapy
- Anti-VEGF Therapy
There are times and circumstances where none of the above treatments are viable for a person due to different reasons, such as too much progression of the disease leading to a significant level of vision loss, health conditions of a person hindering any surgical treatment of the eye and so forth.
Under such circumstances, resorting to low vision aids like low vision glasses for macular degeneration offer immense help in making the best of your leftover vision
This concludes various aspects of how wet and dry AMD differ from each other. For further detailed information on age related macular degeneration, you can visit Age Related Macular Degeneration Guide.