These articles, written by Dr. Scott Gibbs, appeared as regular health columns in the Southeast Missourian newspaper from 1999 to 2002.
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Jargon Alert! What is AMD?

  Your eyes depend upon a small spot (the macula) in the central area of the retina located at the back of the eye for perceiving sharp detail with straight-ahead vision.  Light from the objects that you view enter through the clear portion of the eye, passing through the pupil and lens where it is focused upon the light sensitive layer called the retina.  Your central, or macular, vision is what allows you to see well enough to read, drive or perform other activities that require sharp vision.  Although most of us have wide peripheral vision, it does not allow us to see detail as well as with central vision.  To demonstrate the effect of the macula, choose a word in the middle of one of the above sentences and focus exclusively upon that word.  With your focus remaining upon that word, use your peripheral vision to see how many words on either side of it you can read clearly.  Most people cannot read more than one or two short words on either side of that point of focus.

  AMD is an abbreviation for an eye disorder called age-related macular degeneration.  AMD is painless, and its most common symptoms are pictures or type become blurry and straight lines in your field of vision such as telephone poles and the sides of buildings may appear wavy.  In more severe forms dark or empty spaces may block the center of your vision.  AMD is the leading cause of visual impairment in persons aged 75 or older and is the most common cause of new visual problems among those over age 65.  Leaking blood vessels under the macula causes the “wet” type of AMD whereas the slow breakdown of the cells within the macula causes “dry” AMD.  In its most severe form, AMD can lead to total blindness.  In some families, AMD is more common and may also be associated arteriosclerosis and eye trauma.  Some of the current research has focused on age-related deposits, called drusen, that are similar in molecular composition to plaques and deposits in other age-related diseases such as Alzheimer’s disease and atherosclerosis.  Having macular degeneration does not mean that you will develop Alzheimer’s disease. 

  Scientists have established a strong link between lutein, a carotenoid found in dark green leafy vegetables and a reduced occurrence of AMD.  Carotenoids are powerful antioxidants that neutralize some damage forming molecules and it is thought that lutein protects the eye by blocking harmful blue light from reaching the back of the eye. 

  The diagnosis of AMD is made by inspecting the eye by using a special scope to examine the retina and macula.  An Amsler grid may be used to detect blind spots or wavy lines in vision.  Currently there are no definite treatments that prevent AMD but some researchers believe that maintaining healthy blood pressure, not smoking and wearing sunglasses that block out ultraviolet rays may help prevent AMD.