Macular degeneration - diagnosis

Early detection through regular eye examination

Especially with wet AMD with its rapid progression, it is crucial to early detection. Anyone over the age of 40 should have their eyes checked by the ophthalmologist every year or at least every two years. A recommendation that does not satisfy enough people: A survey carried out by the Gallup polling station in 2005 found that only about half of the respondents in Germany follow this recommendation; in a quarter the last eye exam was more than one year old, 24% had her ophthalmologist for more than two years no longer visited. This means that around 20 million Germans neglect their eyesight - in many cases out of ignorance.

Suspicion and diagnosis

Because the healthy eye often compensates for the visual changes of the diseased eye, one should occasionally cover alternately the right and the left eye, so as to perceive changes in the vision of the individual eyes even earlier. It is easier to find out whether symptoms are present for an AMD with the so-called Amsler grid test: the lattice is held in front of the eye in bright illumination at a distance of 30 - 40 centimeters. Glasses or contact lenses should be discontinued for testing. With one hand, one eye is covered, while the other eye fixes the dot in the middle. If the lines are crooked and consumed around the fixed point, the affected person should visit an ophthalmologist as soon as possible.

Blackbird grid test:

The ophthalmologist can also confirm the suspected diagnosis with an ocular fundus (ophthalmoscopy) and the representation of the retinal vessels by fluorescence angiography. Changes in the center of the retina, such as typical pigment compaction, can be detected early on and before the onset of visual disturbances.

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