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Is Macular Degeneration Inherited​?

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You might share your hair colour or your smile with your family, but what about your eye health? Many people wonder if certain eye diseases, like age-related macular degeneration, are passed down from generation to generation.

While having a family history of age-related macular degeneration does increase your risk, genetics are only one piece of the puzzle. A combination of your genes, lifestyle, and other health factors all contribute to the development of the condition. Knowing your family’s health history gives you valuable information to share with your eye doctor during your next comprehensive eye exam.

What Is Age-Related Macular Degeneration?

Age-related macular degeneration (AMD) is an eye condition that affects your central vision. It involves the macula, a small part of your retina responsible for sharp, detailed sight. This is the vision you use for activities like reading, driving, or recognizing faces.

How It Affects Your Vision

AMD primarily impacts your central vision. Your side—or peripheral—vision usually remains unaffected. Early on, you might notice subtle changes, like slight visual distortions or having more trouble seeing clearly in dim light.

The 2 Types Of AMD—Wet & Dry

Dry AMD is the more common form of the condition. It progresses slowly over time as yellowish deposits called drusen build up under the macula. This can cause your central vision to gradually become less clear.

Wet AMD is less common, but it can cause more rapid changes to your vision. This form of AMD happens when new, unstable blood vessels grow under the retina. These vessels can leak fluid, which disrupts the macula and affects your central sight. 

The Link Between Family History & AMD

Genetics play a significant role in your likelihood of developing AMD. If a close relative like a parent or sibling has the condition, your chances of also developing it are higher. This makes family history an important factor in assessing your personal risk.

However, having genes linked to AMD doesn’t mean you’ll get it yourself. It simply means your risk is higher. Many other factors contribute to whether you actually develop the condition.

Other Factors That Increase Your Risk

While genetics are a key factor, they aren’t the only one. A combination of genetic predispositions and environmental factors often contributes to the development of AMD. Taking care of your overall health can support your eye health, too.

Who Is at Highest Risk?

  • People over 50
  • Individuals of European or Asian descent
  • People who smoke
  • People with high blood pressure or heart disease
  • Those with a family history of AMD

Lifestyle Choices & Health Conditions

Your daily habits and general health can influence your risk. For example, diets high in saturated fats and being overweight are linked to a greater chance of developing AMD. Maintaining a balanced lifestyle is beneficial for your entire body—including your eyes.

Signs Of Macular Degeneration

AMD has different stages, and the signs can be very subtle at first. You might not notice any changes until you’ve started to experience vision loss. This is why regular eye exams are so important, as they can help detect AMD even in its earliest stages.

Early & Intermediate Stage Signs

  • No noticeable signs in the earliest stage
  • Slightly blurry or wavy central vision
  • Trouble adjusting from bright to dim light

Late Stage Signs

In the late stage of AMD, central vision loss becomes more apparent. Straight lines might appear distorted or bent. You might also notice a blurry or dark spot in the centre of your vision.

Elderly person rubs the bridge of her nose while holding eyeglasses, showing signs of eye strain or fatigue.

How We Detect & Monitor AMD Progression

Early detection is a key part of managing AMD and protecting your sight. Your optometrist will use a range of  tools and technologies to monitor your retinal health closely. This allows us to track changes and recommend an appropriate course of action.

The Role Of Regular Eye Exams

Comprehensive eye exams allow us to look for early signs of AMD, such as the presence of drusen, often before they affect your sight. We can track any changes over time and discuss a plan to manage your eye health.

No-Charge OCT Scans For Early Detection

We offer optical coherence tomography—or OCT—scans at no charge to our clients. This imaging technology provides detailed, cross-sectional pictures of your retina. This is a key tool we use to detect and monitor for progression, even in its earliest stages.

How Fast Does AMD Progress?

The rate of progression is different for each person. Dry AMD typically worsens gradually over several years. In contrast, wet AMD can cause more rapid changes in vision.

Ways To Manage AMD & Protect Your Vision

While there is no cure for AMD, you can take steps to manage the condition and support your long-term eye health. Working closely with an eye doctor helps create a personalized plan that fits your specific needs and lifestyle. Our goal is to help you maintain your vision for years to come.

Lifestyle Changes & Nutrition

Simple changes to your routine can make a positive difference. This includes not smoking, wearing sunglasses to protect your eyes from UV light, and eating a diet rich in leafy green vegetables and fish high in omega-3 fatty acids.

New Treatment Options

Our office offers a number of in-office treatments, including newer therapies Arunalight and Macumira. We can discuss if these options may be suitable for you.

Collaboration For Advanced Care

For those with wet AMD, we work with local ophthalmologists who provide treatments such as anti-VEGF injections. This collaborative approach helps you receive coordinated care from a team of professionals. 

Take Care of Your Eyes

Understanding your risk factors for AMD is the first step toward protecting your vision. At iSight Optometry, we focus on comprehensive and preventative eye care for the whole family. Schedule your comprehensive eye exam today to discuss your eye health.

Written by Dr Stephanie Gautier

Dr. Stephanie Gautier was born and raised in Kelowna. She completed her BSc in Microbiology and Immunology at the University of British Columbia. During this time, she worked at the BC Cancer Agency conducting research and publishing several articles. In 2009, Dr. Gautier completed her Doctor of Optometry at the University of Waterloo, graduating as the top academic student in her class.

Dr. Gautier joined iSight Optometry as an associate in 2013. During this time, she also worked at Vivid Laser Centre in Kelowna, doing pre- and post-LASIK and clear lens replacement surgery consults. Dr. Gautier became a practice partner at iSight Optometry in 2020. In addition to private practice, Dr. Gautier travelled numerous times to Haida Gwaii performing eye examinations for the local First Nations community. She is currently serving as a Peer Assessor with the College of Optometrists of British Columbia. 

Together with her husband, Dave Gautier, they have a two beautiful children. She enjoys spending time with her family, playing tennis and running.

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