Featured Speaker DIABETIC RETINOPATHY

Dr. David Maberley

MD, FRCS(C), MSc Ophthalmologist Vancouver, BC

BIO:

Dr. David Maberley, Ophthalmologistis the Site Head for Ophthalmology at Vancouver Acute Hospital and Regional Head of Ophthalmology for Vancouver Coastal Health Authority. Dr. David Maberley, Ophthalmologist is also professor and head of the University of British Columbia’s Department of Ophthalmology and Visual Sciences.

Dr. David Maberley, Ophthalmologistis actively involved in clinical medicine, with a great deal of expertise in the medical and surgical management of diabetic retinopathy, macular degeneration, structural macular diseases, retinal detachment, and high myopia.

He is the Medical Director of the UBC/VCHA Inner-City Eye Program and is heading the ophthalmology component of the British Columbia First Nations On-Reserve Diabetes Telemedicine project. His research interests include the epidemiology of ocular disease, clinical trials methodology, and care delivery in marginalized populations.

( Dr. David Maberley, Ophthalmologist, Vancouver, BC ) is in good standing with the College of Physicians and Surgeons. Now health

What is Macular Degeneration and How Do You Know if You Have It?

Macular degeneration is the leading cause of vision loss in North America.

It affects probably about 10 percent of people over the age of 75, and so it’s the major cause of vision loss that we deal with as ophthalmologists. It is a very common condition from the standpoint of symptomatology that patients experience at that age.

There tends to be a very slow onset of distortion possibly, or just gradual diminution of vision over time. And it can be subtle. People may not even know they have it. So it is something that needs to be evaluated periodically by an ophthalmologist as you start to get older.

There’s a – perhaps I’ll tell you a little bit about what macular degeneration is as well because macular degeneration, people don’t really understand what it is because it’s inside the back of the eye, and it’s not a part of the body that we can just look at in the mirror or you can examine on yourself, so it is something that is often forgotten.

But inside the back of your eye is a very thin film called the retina, and that’s what turns light into vision. It’s like the film in a camera.

And as we get older, the central part, the most detailed part of that retina starts to degenerate. The cells are very metabolically active, and they provide a lot of vision throughout our life, and over time, that starts to break down.

And we see two types of macular degeneration develop over time. The first kind develops very slowly. It’s called dry macular degeneration. And it occurs as sort of a deposition of some of the chemicals that are in the back of your eye that get deposited.

Often little spots can be seen called drusen, and over time, that layer underneath your retina can break down and cause vision loss. That’s about 90 percent of the cause of macular degeneration. It tends to happen slowly, gradually, but it can be devastating in terms of the long-term vision status of the eye.

The other type of macular degeneration is called wet macular degeneration. It has a much more explosive onset. Sudden loss of vision, there’s often bleeding in the back of the eye, and patients can have a profound, sudden loss of vision with that type of macular degeneration, that requires much more rapid identification and treatment.

And that’s the kind that we often are worried about people coming in for, especially because sometimes when you lose vision in one eye, the other eye can compensate, and people might not identify the fact that they’ve got a problem.

We might not get them in on time. So those are the two main types, and we really have to be cognizant that they can present in different ways because the timelines are much different for the two and how we get in there and take care of people.

So if you have a concern that you may have macular degeneration or you might be at risk for macular degeneration, talk to your family physician, and they can refer you to an ophthalmologist.

Alternatively, if you already have an ophthalmologist, maybe you can ask them during your next examination to have your eyes dilated with dilating drops and a proper macular degeneration examination performed.

Presenter: Dr. David Maberley, Ophthalmologist, Vancouver, BC

Local Practitioners: Ophthalmologist

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