Macular Degeneration (AMD)

Macular degeneration is a condition that affects central vision, often developing gradually over time. With early detection and the right support, its impact on everyday life can often be reduced.

Macular degeneration, also known as age-related macular degeneration (AMD), is a common eye condition that affects the central part of the retina called the macula. It causes gradual loss of central vision, which we rely on for reading, driving, recognising faces and seeing fine detail.

 Macular degeneration is one of the leading causes of vision loss in people over 50 in the UK [1].

Although there is currently no complete cure for macular degeneration, early diagnosis and appropriate treatment can help slow its progression and protect your remaining vision. Because the condition often develops gradually and without pain, routine eye examinations are essential for detecting changes early.

Book your eye examination today

 

What is macular degeneration?

If you’re wondering what is macular degeneration, it is a condition that damages the macula, the part of the eye responsible for sharp, detailed central vision.

As the cells in the macula deteriorate, central vision becomes blurred, distorted or reduced. Peripheral (side) vision usually remains unaffected, which means macular degeneration does not typically cause total blindness, but it can significantly impact daily activities.

There are two main types of macular degeneration:

Dry macular degeneration 

Dry macular degeneration is the most common form, accounting for around 85–90% of cases [2].

It develops slowly over time as light-sensitive cells in the macula gradually break down. Small yellow deposits called drusen may form beneath the retina. In early stages, symptoms may be mild or unnoticeable.

There is currently no standard treatment for dry macular degeneration, although research has explored photobiomodulation as a possible option. Early studies using specialist light-based devices have shown variable results, with some patients experiencing improvement and others seeing limited benefit.

Wet macular degeneration

Wet macular degeneration is less common but more serious. It occurs when abnormal blood vessels grow beneath the retina and leak fluid or blood, damaging the macula. 

Wet macular degeneration can cause sudden and severe changes in central vision. Prompt treatment is essential to reduce further vision loss.

If you notice any sudden distortion, blurred central vision or dark patches, seek urgent advice.

 

The macular degeneration symptoms

In early stages, macular degeneration symptoms may be subtle. As the condition progresses, you may notice:

  • Blurred or distorted central vision
  • Straight lines appearing wavy
  • Difficulty recognising faces
  • Dark or empty areas in central vision
  • Reduced contrast or colour clarity
  • Needing brighter light for reading

Wet macular degeneration symptoms can develop rapidly and require urgent assessment.

 

What vision looks like with macular degeneration?

Many people search for what vision looks like with macular degeneration. Typically, central vision becomes blurred, distorted or shadowed, while peripheral vision remains clear.

Some people describe a smudge or dark spot in the centre of their sight. Others notice that lines appear bent or warped.

Regular eye tests can detect changes before symptoms become severe.

 

What are the Macular Degeneration risk factors and causes?

The exact cause of age-related macular degeneration is not fully understood, but research shows that several factors can increase your risk of developing the condition. Age is the most significant risk factor for AMD. The risk increases significantly as we get older and most commonly affects people over 50. You may also be more likely to develop macular degeneration if you have a family history of the condition or if you smoke.

Other health and lifestyle factors, including high blood pressure, high cholesterol, being overweight and following a diet low in leafy green vegetables and oily fish, may also contribute to increased risk. Long-term exposure to ultraviolet (UV) light may also play a role, which is why protecting your eyes with good quality sunglasses is important.

While we cannot change our age or genetics, making positive lifestyle choices and attending regular eye examinations can help support long-term retinal health and allow for earlier detection.

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Diagnosing Macular Degeneration: Tests and Examinations

Macular degeneration is usually detected during a comprehensive eye examination, often before you notice any changes in your vision.

At Leightons, we use advanced imaging technology to carefully examine the health of your retina and macula. Your optometrist may dilate your pupils using eye drops to allow a clearer view of the back of the eye and identify early signs such as drusen (small yellow deposits) or pigment changes.

We may also carry out:

If wet macular degeneration is suspected, we will arrange prompt referral for further specialist imaging and treatment.

Regular eye examinations are vital, particularly if you are over 50 or have known risk factors. Early diagnosis gives the best opportunity to slow progression and protect your sight.

 

How is Macular Degeneration Treated?

There is currently no cure for macular degeneration, but treatment options depend on whether you have dry or wet AMD.

Dry macular degeneration treatment

There is no medical treatment to reverse dry AMD. Management focuses on:

  • Regular monitoring
  • Lifestyle improvements
  • Nutritional support where appropriate
  • Smoking cessation

Early detection is key to preventing progression to advanced stages.

Wet macular degeneration treatment option

Treatment for wet macular degeneration is more urgent and may include:

  • Anti-VEGF Injections: These are the most common treatment for wet macular degeneration. Injections into the eye help stop abnormal blood vessels from growing and leaking.
  • Laser Therapy: In some cases, laser treatment may be used to seal off abnormal blood vessels and prevent further damage. Prompt treatment is essential, as wet AMD can progress quickly.

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Preventing Macular Degeneration

Although macular degeneration cannot be fully prevented, particularly as age and genetics play a role, there are steps you can take to reduce your risk. Stopping smoking is one of the most important changes you can make. Maintaining a balanced diet rich in leafy green vegetables and oily fish may also support retinal health, alongside managing blood pressure and cholesterol levels and maintaining a healthy weight.

Wearing a good pair of sunglasses throughout life can also help protect your eyes from overexposure to ultraviolet (UV) light and high-energy visible (blue) light, both of which may contribute to long-term retinal damage.

Regular eye examinations remain one of the most effective ways to protect your vision, allowing early signs of macular degeneration to be detected and monitored over time.

 

Takeaway

Macular degeneration is a leading cause of central vision loss, but early detection and timely treatment can make a significant difference.

At Leightons, our experienced optometrists provide detailed retinal examinations and advanced imaging to detect early signs of age-related macular degeneration.

If you are over 50, have a family history, or have noticed changes in your vision, we are here to help. 

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Sources 

[1] Macular Society (n.d.). Macular degeneration. https://www.macularsociety.org/macular-disease/macular-conditions/macular-degeneration/ (Accessed: 8 January 2026).   

[2] Schultz, N.M., Bhardwaj, S., Barclay, C., Gaspar, L. and Schwartz, J. (2021). Global burden of dry age-related macular degeneration: A targeted literature review. Clinical Therapeutics, 43(10), pp. 1792–1818.  https://pubmed.ncbi.nlm.nih.gov/34548176/ (Accessed: 31 March 2026).

 

FAQs

No. Macular degeneration affects central vision but usually preserves peripheral vision.

No, it is not typically painful.

Glasses can improve general vision but cannot reverse central vision loss caused by AMD.

Every two years as a minimum, or more frequently if advised by your optometrist.

At present, there is no complete cure. However, treatment can slow progression, particularly for wet macular degeneration. Early intervention offers the best chance of preserving vision.

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If you find reading uncomfortable, notice words moving on the page, or feel strain when looking at patterns or screens, you may be experiencing visual stress. Visual stress is a common but often overlooked condition that can affect how comfortable your vision feels, particularly when reading or focusing for longer periods. With the right support, it can often be managed effectively, helping you feel more relaxed and confident in your day-to-day vision. If your symptoms are linked to light or contrast, you may also find it helpful to explore how tinted lenses can improve visual comfort and clarity.   What is visual stress? Visual stress, sometimes referred to as Meares-Irlen syndrome, affects how the brain processes visual information. It is not a problem with your eyesight itself, but rather how your eyes and brain work together when looking at text, patterns or bright environments. People with visual stress often find that certain visual tasks feel overwhelming or uncomfortable, even if their vision has been tested and appears normal.   Common symptoms of visual stress Visual stress can present in different ways, and symptoms may vary from person to person. You may notice: Words appearing to move, blur or distort on the page Difficulty tracking lines of text when reading Sensitivity to bright light or glare Headaches or eye strain when reading or using screens Letters or patterns appearing to flicker or shimmer Reduced concentration when reading for longer periods These symptoms can make everyday tasks feel more tiring, particularly in environments with bright lighting or high contrast.   What causes visual stress? The exact cause of visual stress is not always clear, but it is linked to how the brain processes visual patterns and contrast. High contrast patterns, such as black text on a white page, can sometimes feel overwhelming for the visual system. This can lead to discomfort, distortion or fatigue when reading or focusing for extended periods. Visual stress is often noticed in both children and adults, particularly when reading feels difficult or tiring. It is sometimes associated with conditions such as dyslexia, although the two are not the same.   Visual stress vs light sensitivity: what’s the difference? Visual stress and light sensitivity can feel similar, but they are not the same. Light sensitivity (photophobia) is typically linked to brightness and discomfort from light itself Visual stress is more closely related to patterns, contrast and how visual information is processed Some people experience both, which is why a thorough assessment is important to understand what is affecting your vision.   Can tinted lenses help with visual stress? For many people, tinted lenses can make a noticeable difference to visual comfort. Carefully selected colours can help reduce the intensity of contrast and visual patterns, allowing your eyes to feel more relaxed when reading or using screens. This can make text appear more stable and easier to follow. The effect of colour is highly individual, which is why it is important to find the right tint for you rather than choosing a general option. Colour selection is typically guided through a visual stress assessment*. During an appointment, you may be shown a range of coloured overlays or lenses and asked to read or focus on text, helping you experience which tones feel most comfortable. Explore the different colours and types of tinted lenses to understand how each option works.   What is a visual stress test? At Leightons, there are two main types of visual stress assessment, designed to understand how your eyes respond to colour and contrast. Coloured overlay assessment: Different coloured overlays are placed over text to identify which makes reading feel more comfortable. Any improvement is measured using a standardised reading test. If effective, you may get specialised, custom-tinted lenses to use for reading and school/work. Colorimetry: A more advanced assessment using a specialist device to identify the precise tint or colour combination needed to reduce visual stress. This allows for the prescription of precision-tinted lenses tailored to your individual visual response. Before considering a visual stress assessment, it is important to have a comprehensive eye examination. This allows us to check your overall eye health and ensure your symptoms are not being caused by something else, such as: A prescription change Eye strain Another underlying eye condition If appropriate, we can then guide you through a visual stress assessment to explore whether coloured lenses may help improve your comfort and clarity.   Managing visual stress in everyday life There are several ways to help reduce the impact of visual stress in your daily routine: Use softer, more consistent lighting Reduce glare from screens Take regular breaks when reading or working Adjust screen settings or use coloured backgrounds For many people, the most effective support comes from personalised solutions such as coloured overlays or tinted lenses tailored to your visual needs. If your symptoms are linked to screen use, it may also help to compare blue light vs tinted lenses to understand which option is most suitable.   When should you seek advice? If reading feels uncomfortable, or if symptoms are affecting your concentration or confidence, it is worth having your eyes assessed. The best place to start is with a full eye examination. This allows us to understand your vision in detail and rule out any underlying causes. From there, we can guide you towards the most appropriate support, including whether tinted lenses or a colourimetry assessment may be beneficial. Book your eye test today.   * Please note that not all Leightons practices offer coloured overlay assessments or colourimetry. Please contact your local branch to confirm availability.
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