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Q. My uncle has AMD, and he lost his eyesight last week. Is there anything we can do?

Answered by
Dr. Asha Barboza
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on Sep 28, 2020 and last reviewed on: Feb 27, 2021

Hi doctor,

I am asking questions on behalf of my uncle. My uncle is 94 years old with a weight of 68 kilograms and a height of five feet nine inches. Before a week, he lost his eyesight and he is unable to read now. He had diminishing eyesight. For this, he visited the eye clinic regularly until the pandemic. He believes that he has developed scarring in his retina. He has AMD on his eyes and he took injections regularly. He takes medicines for hypertension, prostate, hip pain, and nerve pain. Currently, he is taking Metolar 25, Cardace 5 mg, Urimax, and Duloxetine 20 mg twice daily. His blood pressure is under control. My uncle wants to know whether there are any other treatment options that help to bring his eyesight back. Please help.

#

Hi,

Welcome to icliniq.com.

It is unusual that he has lost eyesight in both eyes simultaneously as his one eye was bad and the other one got deteriorated suddenly. AMD (age-related macular degeneration) is of two types. They are wet type and dry type. You have not attached the reports of his existing condition. I assume that the injections taken by him are intravitreal anti-VEGF (anti-vascular endothelial growth factor therapy) injections. This is the latest treatment used for treating wet AMD.

There is a growth of new blood vessels under the retina and it results in loss of vision. If injections does not help him, then he can go for using glasses called lower visual aids and it is basically a magnifying type of spectacles. This is the only option to be used for his age. I suggest you consult an ophthalmologist as soon as possible because his vision loss is recent. Kindly wear N95 mask while going to the hospital. Meanwhile, he can use Nepafenac eye drops twice daily.

Thank you doctor,

Please mention the strength of Nepafenac eye drops. Regarding vision loss, he had vision loss only on the left eyes and he was not able to see anything. There was a formation of fluid. When the fluid formation gets high, he use to get an Eylea injection. He took three injections for the left eyes. His right eye was fine and he was able to read with it. Recently it got deteriorated suddenly and he told me that there was a formation of a blind spot. He believes that there is a formation of scarring on the retina of the right eye. Currently he is using Genteal gel and Flogel. Should he need to continue these drops along with Nepafenac eye drops?

#

Hi,

Welcome back to icliniq.com.

Nepafenac eye drops are used with a strength of 0.1 percent. It has anti-inflammatory properties with good penetration into the eyes. It helps to reduce the swelling in the retina. I have noted that his right eye was a good one and got deteriorated suddenly. It seems that he has developed the same problem in the right eye and he may require Eylea injection in that eye too. It is an anti-VEGF injection. The blind spot occurs when the macula is involved.

You need to visit a retina specialist as soon as possible because when the blind spot increases, then the vision loss becomes a permanent one. These injections work well during early stages. He is using lubricating eye drops and it can be continued. Leave a gap of five minutes before using Nepafenac and others to facilitate better absorption. For visual assistance, he can use low visual aids for reading and doing other activities for now.


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