Lifestyle Changes to Manage Macular Degeneration
En Español (Spanish Version)

If you have been diagnosed macular degeneration, you can make some changes that will help you manage your environment with low vision.

Make Your Home Safer
You can make your home a safer place by taking these steps:

  • Brighten your space with overhead and under-cabinet lighting
  • Reduce glare with curtains and blinds
  • Keep an open flow to rooms by rearranging furniture that may hinder movement
  • Use contrasting colors in the bathroom so it is easier to see large items, such as the bathtub, toilet, or sink
  • If you have area rugs, make sure they are taped or tacked down
  • In stairwells use bright lights and identify the top and bottom steps with different colors
  • Install handrails in bathrooms and in stairwells
Suggestions for Daily Living
Daily life with macular degeneration may be difficult. Follow these suggestions to help make your daily tasks easier:

  • When you are reading or using a computer, use large text options or extra spacing between letters when you can. If you still have difficulty, use audio books when possible.
  • Organize your household items and keep them in the same place so they are easier to find.
  • Try using large stickers on your stove or thermostat so they are easier to use and navigate.
  • Use magnifiers or telescopes.
Driving
For most people, driving defines their independence. If your low vision is causing problems when you drive, you may have to make some adjustments. It doesn't mean you have to turn in your keys permanently. Take these steps:

  • Plan your driving for daylight hours. Avoid driving at dawn and dusk, or after dark.
  • Monitor weather and traffic conditions.
  • Ask your family or friends for help when you need it.
  • Consider taking a driver's education course to improve driving skills.
Telescopic Lenses
Telescopic lenses are mounted inside the lenses in your glasses. They work by magnifying, much like a telescope or binoculars. With magnification, tasks such as needlework, movie watching, or other daily tasks may be more manageable. In some states, telescopic lenses are legal for driving. If you are unsure, contact your state motor vehicle department.

Talk with Your Doctor
If you are having difficulty adjusting to life with low vision, call your eye doctor. You may be referred to a low vision specialist who can help you make the changes you need to manage your life with macular degeneration.

If you have been diagnosed with macular degeneration, the following lifestyle changes may help keep your eyes healthy. In some cases, these changes may even slow the progression of macular degeneration. Ask your doctor which lifestyle changes may be appropriate for you.

Consider Vitamin and Zinc Supplements
According to a clinical trial published in the Archives of Ophthalmology , antioxidant vitamins and zinc may reduce the risk of vision loss caused by certain forms of adult macular degeneration. In the trial, a high-dose combination of vitamin C, vitamin E, beta-carotene, and zinc were given to a group of people with adult macular degeneration. Talk to your doctor or a registered dietitian about vitamin and mineral supplementation.

Don’t Smoke
Smoking can be harmful to the eye just as it is to the rest of the body. If you smoke, talk with your doctor about how you can quit.




References:
Adjusting the home. Bright Focus Foundation website. Available at: http://www.brightfocus.org/macular/livingwith/adjustinghome.html . Updated April 26, 2013. Accessed July 15, 2013.

Age-related eye disease study 2 research group. Lutein + zeaxanthin and omega-3 fatty acids for age-related macular degeneration: the Age-Related Eye Disease Study 2 (AREDS2) randomized clinical trial. JAMA. 2013;309(19):2005-2015.

Living with AMD. Macular Degeneration Partnership website. Available at: http://www.amd.org/living-with-amd.html . Accessed July 15, 2013.

A randomized, placebo-controlled, clinical trial of high-dose supplementation with vitamins C and E, beta carotene, and zinc for age-related macular degeneration and vision loss. Archives of Opthalmology . 2001;119:117-1571.

The relationship of dietary lipid intake and age-related macular degeneration in a case-control study: AREDS Report No 20. Arch Ophthalmol . 2007;125:671-679.

4/7/2014 DynaMed's Systematic Literature Surveillance. http://www.ebscohost.com/dynamed: US Preventive Services Task Force. Screening for impaired visual acuity in older adults: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2009;151(1):37-43.

Last Reviewed July 2013



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