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Good Hope Hospital Eye Clinic
 
ARMD and the other eye
David Kinshuck & Monique Hope-Ross

See also

Low vision & Macula Disease

Coping & low vision

Support

Macular degeneration

dry ARMD

none-ARMD  macula/retina

PEDs

wet ARMD & Lucentis

Types of wet ARMD

Myopia

Animations etc

Cases for students etc

Further information

Lifestyle

ARMD and risks for the other eye
Unfortunately age related macular degeneration can affect the other eye. See healthy lifestyle above: this may help. If you do notice a change in your sight, see distortion above. See a search . Risk from drusen.
  • The atrophic or dry type usually does occur in both eyes, but remember this generally gets only worse slowly.
  • There may be a gap of years before the process begins in the second eye.
  • If one eye has had wet ARMD, and the other eye has a PED, then screening with regular OCTs may help.

Concerning neovascular or wet type ARMD....

  • The neovascular or wet type can also affect the other eye, at an overall rate of 90% over the next 5 years.
  • High blood pressure, one large drusen near the fovea, 5 drusen in the macular area, and retinal pigment epithelial changes each contribute to this 90%.
  • So if you have only one of these risk factors, such as 5 drusen and a low blood pressure and don't smoke, then the progression rate is 90/4, that is about 23% over a 5 year period . If you have 2 risk factors, 45%.
  • But if you have 2 risk factors (45% 5 year risk) and your partner smokes 20/day, your risk is 45 x2 = 90% over 5 years...see immediately below.
  • The figure is 4 times higher for smokers, and twice as high for passive smokers. (If smoking at 20 cigarettes/day.)
  • the active phase may last 3-12 months, with the sight deteriorating during this time, and after that they may be little change. Treatment (laser & drugs) is needed during the active phase, and is of no help later. Anti-VEGF treatment may be needed for 2 years.
 

 

Apologies to visitors for all the site moves. It is now here www.goodhopeeyeclinic.org.uk/  and hopefully will not move again.

Eye website feedback -- Heartlands -- page edited June 2012 -- Public transport to Good Hope --