How to treat an elderly person losing vision from AMD?

Question

Hello doctor,

My grandmother is 81 and was recently told that she has wet macular degeneration in one eye. She gets injections every month, and they seem to help, but she still has trouble reading and recognizing faces. We are worried the condition might get worse in the other eye too. Is there anything else that can slow it down or help her vision? Are these injections something she will need forever? Also, are there special glasses or devices that could help her function better daily? We are trying to keep her independent, but she is starting to feel very anxious about losing her sight.

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Thank you for your thoughtful query regarding your grandmother’s condition. Here is a point-wise response to address your concerns:

1. Diagnosis overview:

Wet age-related macular degeneration (AMD) is a progressive condition affecting central vision due to abnormal blood vessel growth under the retina. The injections (usually anti-VEGF therapy (vascular endothelial growth factor)) help to slow or halt this growth.

2. Treatment outlook:

Monthly anti-VEGF injections (like Ranibizumab or Aflibercept) are the standard of care.

Some patients stabilize and require fewer injections over time, while others may need long-term or indefinite treatment. Regular monitoring by an ophthalmologist is essential.

3. Risk to the other eye:

Yes, the other eye can be affected over time. Early detection is key. Regular OCT (optical coherence tomography) scans and visual acuity checks help monitor changes. Use of AREDS2 (age-related eye disease studies) supplements (antioxidants and zinc) may reduce progression in the unaffected eye, especially if it has dry AMD.

4. Low vision aids:

Special reading glasses, magnifiers, and electronic reading devices (like e-readers with zoom and contrast settings) can help with reading. Devices like CCTV (closed-circuit television) magnifiers, screen readers, and high-contrast clocks or phones promote independence. Referral to a low vision specialist can be very beneficial.

5. Maintaining Independence:

Keep living spaces well-lit and clutter-free. Use audiobooks, large-print books, and voice-assistive technology (for example, Alexa, talking watches). Encourage emotional support or counseling if she’s feeling anxious or depressed.

I hope this helps.

Thank you and take care.

Regards.