At Home with Dr Christian Jessen - 131

EXPERT
EYECARE
GUIDE

A S T IGM AT ISM

A minor condition of the eye
where the cornea or lens is
unevenly curved, which causes
blurred or distorted vision. The
cornea, a transparent layer of
tissue located at the front of the
eye, should be perfectly rounded, but in some
people this curve is too great and the cornea is
shaped like a rugby ball. In such cases, light rays
entering the eye are not focused correctly onto
the retina, causing the images your brain receives
to be blurred and reducing your eyesight.
SYMPTOMS: This condition can cause blurred
vision, headaches, eye strain and fatigue.
A regular eye test, where they check your eyes'
ability to focus, can detect astigmatism. A
Keratometer can be used to measure how light
is being focused by the cornea and detect
irregularities in the curve. If left undiagnosed,
particularly from birth, the condition can affect
a child's reading and concentration, and could
mean your child develops a lazy eye.
CAUSES: Astigmatism is usually present at birth
but in some cases it can develop from an eye
injury or result from an eye operation where the
corneal surface is damaged.
The condition can be hereditary and is
sometimes more common in babies that were
born prematurely, which may be because the
cornea hasn't had as much time to develop fully.
TREATMENT: Most cases of astigmatism
require no treatment as the symptoms are so
mild but, in some cases, when your vision is
significantly affected you may need to wear
glasses or contact lenses to fix it.
To correct astigmatism permanently, laser
eye refractive surgery can be performed. During
this procedure, the outer layer of cells of the
corneal surface is removed. The laser's beams
of light are then used to remould the tissue of the
cornea to change its curve. The treatment usually
takes 20 to 30 minutes. Laser eye surgery is
usually successful with low complication rates,
however it is not considered essential surgery
on the NHS as other treatment options also work.

AN ASTIGMATISM
CAN BE DETECTED AT
A ROUTINE EYE EXAM

OVER 600,000
PEOPLE ARE AFFECTED
BY MACULAR
DEGENERATION

MACULAR DEGENERATIO N

Age-related macular
degeneration (AMD)
is the most common
cause of permanent
visual impairment in
the elderly. AMD
develops when the macula (the part
of the eye responsible for central vision)
is unable to function as well as it
previously did. In most cases there is a
gradual loss of vision, but sometimes it
can cause a sudden reduction in vision.
With AMD, central vision becomes
increasingly blurred but peripheral vision
(outer vision) is not affected, so it doesn't
cause complete blindness.
SYMPTOMS: AMD leads to symptoms
such as difficulty reading or recognising
people's faces, and colours appearing
less vibrant. One very important early
symptom of wet AMD, the more serious
of the two types of this condition (see
below) is the awareness of distortion of
objects and straight lines.
If your vision suddenly gets worse,
images become distorted, or you
notice blind spots, book an emergency
appointment with an optometrist or visit
your local A&E department. If it's thought
you may have AMD, you'll be referred
to an ophthalmologist for further tests
and any necessary treatment. With wet
AMD, vision can deteriorate severely
within a few days if not caught early.

CAUSES: Apart from increasing age,
smoking is a significant risk factor for
this disease. There are two types of
AMD: 'dry AMD', which develops
when the cells of the macula become
damaged as a result of a build-up of
waste products called drusen, and 'wet
AMD', which accounts for about 10%
of all AMD and is associated with the
growth of new fragile blood vessels
beneath the retinal surface, which cause
bleeding, leakage of fluid and scarring.
Wet AMD tends to lead to a more
rapid irreversible deterioration of vision,
hence why it's vital to seek emergency
treatment if your vision suddenly
changes. Wet AMD can now be treated
if it's detected at an early stage.
TREATMENT: While there is currently
no cure for either type of AMD, dry
AMD is treated by helping the person
make the most of their remaining vision
with tools such as magnifying lenses.
Treatment for wet AMD, on the other
hand, involves the injection of minute
volumes of drugs known as anti vascular
endothelial growth factor (VEGF) agents
(Lucentis, Eylea and Avastin) into the
eye initially on a regular monthly
basis with an average of five or seven
injections in the first year of treatment.
Most patients tolerate these treatments
well and the majority find their vision
is either maintained or improved. >

www.athomemagazine.co.uk MARCH 2015 | 131


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