Age-Related Macular Degeneration (AMD) Overview

Age-Related Macular DegenerationAn Overview

Age-related macular degeneration (AMD) affects the macula, the central part of the retina responsible for sharp, detailed vision. While AMD does not mean you are going blind, it is a leading cause of vision loss in older Americans and requires proactive monitoring and care.

#1

Cause of Vision Loss in Adults 60+

~30%

Risk in Adults Over 75

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Early Detection Saves Vision Modern OCT imaging detects microscopic changes before symptoms appear.

Two Forms

Wet AMD & Dry AMD

Advanced OCT Imaging

High-definition retinal scans

Modern Treatments

Anti-VEGF injections & more

25% Risk Reduction

AREDS vitamin formula

Retina Specialist

Fellowship-trained care

Concerned About Macular Degeneration?

Early detection is critical. Schedule a comprehensive dilated eye exam to check for drusen and other early signs of AMD before vision loss occurs.

Schedule a Retina Exam

Diagnostic & Treatment Technology

Optical Coherence Tomography (OCT)

High-definition digital imaging that scans your macula over 100 times in seconds, detecting microscopic changes as an early warning system for AMD progression

Fluorescein Angiography

The gold standard for detecting wet AMD. A special dye is injected and photographs reveal leaking blood vessels beneath the retina with exceptional clarity

Anti-VEGF Injection Therapy

Lucentis, Eylea, and Avastin block abnormal blood vessel growth to stabilize and often improve vision in patients with wet AMD

Comprehensive Dilated Eye Exam

Pupils are dilated to allow thorough examination of the retina and macula, enabling detection of drusen, pigment changes, and other early signs of AMD

Why Patients Choose Greenwich Ophthalmology Associates

OCT diagnostic imaging technology
Breakthrough Diagnostic Technology

OCT imaging scans your macula over 100 times in seconds at resolutions of 2 to 25 microns for early detection.

Dr. Jerry Tsong
Fellowship-Trained Medical Retina Specialist

Dr. Tsong completed his fellowship at the renowned Doheny Eye Institute, specializing in retinal diseases including AMD.

Latest Treatment Options

Anti-VEGF injections (Lucentis, Eylea, Avastin), photodynamic therapy, and laser surgery to stabilize and improve vision.

Rectangle 35 (2)
Personalized Preventive Care

Customized monitoring plans with AREDS/AREDS2 vitamin guidance and periodic dilated exams every 4–6 months.

Your Vision Is in Expert Hands

Jerry W. Tsong, M.D. is a board-certified, fellowship-trained Medical Retina Specialist at Greenwich Ophthalmology Associates. After graduating in the top 5% of his class at MIT with a degree in Chemical Engineering, Dr. Tsong earned his medical degree from Harvard Medical School. He completed his residency at George Washington University Medical Center—where he was selected as Chief Resident—and his fellowship at the world-renowned Doheny Eye Institute. Repeatedly named a "Top Doctor" by New York Magazine, he brings exceptional expertise and compassionate care to patients with macular degeneration, diabetic retinopathy, retinal vascular diseases, and other complex retinal conditions.

MIT & Harvard Educated
Doheny Eye Institute Fellow
Board Certified Ophthalmologist
NY Magazine Top Doctor
Dr. Jerry W. Tsong, MD - Medical Retina Specialist at Greenwich Ophthalmology Associates

Fellowship-Trained Medical Retina Specialist

AMD Types & Treatments

Learn about the different forms of macular degeneration and the treatment options available.

Dry AMD

Dry AMD occurs when light-sensitive cells in the macula slowly break down, gradually blurring central vision. It has three stages: early, intermediate, and advanced. The most common form of AMD, it is often detected by the presence of drusen—yellow deposits under the retina.

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Wet AMD

Wet AMD occurs when abnormal blood vessels grow under the macula and leak blood and fluid, causing rapid damage. An early symptom is that straight lines appear wavy. Though less common than dry AMD, wet AMD accounts for about two-thirds of advanced AMD cases.

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Anti-VEGF Injection Therapy

The most common treatment for wet AMD. Medications such as Lucentis, Eylea, and Avastin are injected into the eye to block the growth factor (VEGF) that causes abnormal blood vessel growth. This can slow vision loss and, in many cases, improve sight.

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Photodynamic Therapy

A drug called verteporfin is injected into your arm, travels to the abnormal blood vessels in your eye, and is then activated by a light shined into the eye. The activated drug destroys the new blood vessels, leading to a slower rate of vision decline.

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Laser Surgery for AMD

This procedure uses a laser to destroy fragile, leaky blood vessels that have formed beneath the retina. Only a small percentage of people with wet AMD can be treated this way, but it remains an important option when applicable.

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AREDS & AREDS2 Vitamins

A specific combination of antioxidant vitamins has been shown to reduce the risk of vision loss from AMD by 25%. The AREDS2 formula includes lutein, zeaxanthin, and omega-3 fatty acids. These are available over-the-counter and are recommended for intermediate to advanced dry AMD.

Learn More

Are You at Risk for Macular Degeneration?

The greatest risk factor for AMD is age. Studies show that people over age 60 are clearly at greater risk, with nearly 30% of those over 75 developing the condition. Other risk factors include smoking, obesity, family history, race, and gender.

Both dry and wet AMD cause no pain, which makes regular eye exams essential. For dry AMD, you may notice blurred vision, difficulty recognizing faces, or needing more light to read. For wet AMD, the classic early symptom is that straight lines appear wavy or crooked.

Your lifestyle can make a difference. Eat a healthy diet high in green leafy vegetables and fish, don't smoke, maintain normal blood pressure, and exercise regularly.

Risk Factors

Age (60+ years old)
Smoking
Obesity
Family History of AMD
Race (Caucasian)
Gender (Women at higher risk)

Standard Amsler Grid — Focus on the center dot with one eye at a time.

Monitor Your Vision at Home

The Amsler grid is a simple screening tool recommended by ophthalmologists to help detect early changes in your central vision between appointments. If lines appear wavy, distorted, or missing, it could be a sign of macular degeneration changes that need urgent attention.

1 Wear your reading glasses
2 Hold grid 12–14 inches away
3 Cover one eye, focus on dot
4 Note any wavy or blank areas

Schedule Your Comprehensive Eye Exam


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