Module 2 Flashcards

1
Q

What is AMD?

A

Stands for Aged-related macular degeneration, the most common macular disease in Australia.

1/7 Australians over the age of 50 has some evidence of AMD - about 1.4 millions people.

AMD is a chronic and progressive disease of the macular, the centre of the retina at the back of the eye. The disease damages your central vision leaving your peripheral vision in tact.

AMD effects anything that requires detailed central vision such as reading, driving, or recognising faces. But it doesn’t lead to total vision loss or black blindness. It can affect one eye or both eyes.

AMD is related to ageing but it’s not a normal or inevitable consequence of getting older. It can progress slowly or advance quickly. Infact people with AMD can take steps to protect their vision.

Call our national helpline for advice 1800 111 709

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2
Q

What is AMD (short version)?

A

AMD is a chronic and progressive disease of the macula. The disease damages your central vision, leaving your peripheral vision intact.

AMD affects anything that requires detailed central vision such as reading, driving or recognising faces. It does not lead to total vision loss, or black blindness. It can affect one eye or both eyes.

It can progress slowly, or advance quickly.

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3
Q

What is AMD - fill in the blanks

AMD is a chronic and _______ disease of the ________. The disease damages your _________ vision, leaving your __________ vision intact.

AMD affects anything that requires detailed central vision such as ________, _________ or __________. It does not lead to total vision loss, or ____________. It can affect one eye or both eyes.

It can progress slowly, or advance _________.

A

Progressive

Macula

Central

Peripheral

Reading

Driving

Recognising Faces

Black blindness

Quickly

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4
Q

What is AMD - fill in the blanks

AMD is a chronic and _______ disease of the ________. The disease damages your _________ vision, leaving your __________ vision intact.

AMD affects anything that requires detailed central vision such as ________, _________ or __________. It does not lead to total vision loss, or ____________. It can affect one eye or both eyes.

It can progress slowly, or advance _________.

A

Progressive

Macula

Central

Peripheral

Reading

Driving

Recognising faces

Black blindness

Quickly

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5
Q

What are the three stages AMD is categorized into?

A
  1. Early
  2. Intermediate
  3. Late (further divided into wet and dry)
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6
Q

What type of AMD will most people I encounter in the community have?

A

Intermediate AMD or late AMD

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7
Q

What are the symptoms of AMD?

A

You can have the early signs of AMD without even knowing.

DUring the early and intermediate stages you may not notice any changes to your vision. That’s why its so important to have your regular eye exams with your opteometrust. But as AMD progesses you mifht notice some of these symptoms.

  1. Difficulty reading
  2. Straight lines appearing wavey or bent
  3. Difficulty recognising faces
  4. Dark or blurred patches in the centre of your visinos
  5. Worse vision at night
  6. Sensitivity to glare
  7. Reduced colour vision

It’s important to know that AMD will not lead to total vision loss or black blindness

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8
Q

What should you do if you experience any changes in your vision?

A

Not dismiss it as part of getting older.
The earlier you can catch AMD the better.

It is crucial to monitor your vision at home using am Amsler grid.

Have regular eye exams, including a check of the macula.

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9
Q

How do you order an Amsler grid or find an optometrist near you?

A

Visit www.mdfoundation.com.au or call our national helpline on 1800 111 709

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10
Q

What should you do if you experience any changes in your vision?

A

Not dismiss it as part of getting older.
The earlier you can catch AMD the better.

It is crucial to monitor your vision at home using an Amsler grid.

Have regular eye exams, including a check of the macula.

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11
Q

What is an Amsler grid?

A

The Amsler grid, used since 1945, is a grid of horizontal and vertical lines used to monitor a person’s central visual field. The grid was developed by Marc Amsler, a Swiss ophthalmologist.

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12
Q

What can be done about AMD?

A

Whilst there are no cures for AMD, there are treatment options available for people with AMD, and these include appropriate dietary changes and/or intravitreal injections.

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13
Q

If detected early, are there measures that someone with AMD can take to reduce their chances of developing further AMD? What are they?

A

Yes.

In the early stages, a good diet can reduce their chances of progression.

Even in the intermediate and late stages, a good diet high in the requisite foods to protect the macula is still highly encouraged.

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14
Q

What do foods that can help with AMD contain?

A

Antioxidants, vitamins, and other nutrients.

Dark green leafy vegetables such as spinach, kale, and silverbeet are rich in lutein and zeaxanthin, two vitamins that protect the macula.

Fish, particularly oily varieties like salmon, mackerel, anchovies, and trout, are full of omega-3 fatty acids which are also important to eye health.

People who eat low GI carbs instead of high GI carbs also have a lower risk of developing AMD.

Low GI carbs include most fruit and veggies, as well as whole grain bread rather than white bread.

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15
Q

How do people get the recipes that are good for your macula?

A

MDFA publishes free online cookbooks for recipes that are both delicious and good for your macula.

Can be downloaded at www.mdfoundation.com.au

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16
Q

What are supplements?

A

Supplements are vitamins, minerals, or other substances taken as a tablet or a capsule.

17
Q

Can some supplements be good for your macula health depending on your AMD diagnosis?

A

Yes

18
Q

Can some supplements be good for your macula health depending on your AMD diagnosis?

A

Yes

19
Q

When might you benefit from a supplement? (Based on the Age-Related Eye Disease Study number 2 (a.k.a AREDS 2))

A

If you have intermediate AMD in one or both eyes or late AMD in one eye.

20
Q

Who can you talk to in order to understand which stage you are up to in your disease journey?

A

You health professional

21
Q

What can AREDS 2 supplements do?

A

Help lower your risk of progressing to late stage AMD or developing AMD in your other eye.

22
Q

Do AREDS 2 supplements prevent AMD? When are they not recommended?

A

No.

Not recommended if you don’t have AMD.

Not recommended if you only have the early signs of AMD.

Not recommended if you have late-stage AMD (dry or wet) in both eyes.

23
Q

Do multiple companies produce AREDS 2 supplements?

A

Yes. Under a number of different brand names.

24
Q

Can supplements interfere with medication? Who should you speak to about whether supplements are right for you?

A

Your eye health professional or GP.

25
Q

To learn more about supplements for AMD who can you contact and how?

A

MDFA - www.mdfoundation.com.au or call the national helpline on 1800 111 709

26
Q

What happens in the wet form of AMD?

A

In the wet form of AMD, blood and fluid spill into the macula and this disrupts the integrity of the macula, ultimately impacting on vision

27
Q

What can help the wet form of late AMD?

A

Injections to the eye called intravitreal injections

28
Q

What can happen if treatment (intravitreal injections) is delayed or stopped early against the advice of health care professionals?

A

May result in irreversible vision loss.

29
Q

How do eye injections work?

A

Standard treatment for wet AMD involves injection anti-VEGF medication into the vitreous which is the clear, jelly-like substance inside the eye. These eye injections, also known as intravitreal injections (IVI) are not a cure, but repeated injections are highly effective at stabilizing AMD and maintaining your best vision for as long as possible.

30
Q

Do most people who receive eye injections maintain better vision for a longer time compared to those who don’t get treatment?

A

Yes

31
Q

What causes wet AMD to damage the macula?

A

In wet AMD a protein called vascular endothelial growth factor (VEGF) is responsible for the development of abnormal blood vessels underneath the macula. These new abnormal blood vessels are fragile and can leak fluid and blood which may damage the macula and cause vision loss. ANti-VEGF medication can block the activity of this protein stopping these new blood vessels from growing and leaking fluid.

32
Q

What is the most damaging type of AMD?

A

Wet AMD

33
Q

How can AMD and other eye diseases impact the quality of life?

A

Many people with vision loss may lose their independence and face a significant reduction in their quality of life. People initially diagnosed with macular disease often face anxiety about the future and often are unsure about what their diagnosis means. This highlights the importance of people with macular disease accessing support services, to enable them to live with macular disease confidently and live more independent, emotionally satisfying lives.

34
Q

What is the leading cause of blindness in Australians aged over 50?

A

Age-Related Macular Degeneration

35
Q

What is the prevalence of age-related macular degeneration in Australians over the age of 50?

A

1 in 7

36
Q

Age-Related Macular Degeneration impacts on what kind of vision?

A

Detailed, central vision

37
Q

Which of the following is NOT a risk factor for developing AMD?

Smoking
Family history
Age
Having regular eye exams

A

Having regular eye exams

38
Q

True or False. There is a cure for age-related macular degeneration?

A

False

39
Q

What are the common risk factors for developing AMD?

A

Smoking
Family history
Age