Visual Hallucinations & AMD

Vision loss from Age-Related Macular Degeneration (AMD) or other causes is known to cause some people to see faces or shapes that aren't really there. But a new study suggests these hallucinations, known as Charles Bonnet Syndrome, affect many more people with AMD than previously thought. More than 12% of people with AMD experience visual hallucinations, the study found. The actual number may be even higher. On average, people experience these hallucinations on and off for about 3 years. Those who experience hallucinations tend to see multiple types of images, particularly people and faces. Many people keep quiet about these phantom images for fear they'll be labeled with dementia or a psychiatric condition. Their hesitancy to speak up could explain why hallucinations were thought to be relatively uncommon until now.

Why Do People with Macular Degeneration Have Hallucinations

Hallucinations in people with vision loss do not stem from neurological problems. Rather, they occur when brain craves new images to process. Finding none (due to vision loss), the brain resorts to making up images or recalling images from memory.

These phantom images may be simple lines, shapes, flashes of light or more complex images of faces, people or animals. They can occur at any time and last for seconds, minutes or hours. Sometimes the images remain still, other times they move around. People with significant vision loss, especially loss of central vision, are most often affected.

How to Deal with Visual Hallucinations

There is no cure or treatment for Charles Bonnet Syndrome, but there are strategies to stave off episodes and cope with hallucinations that occur. If you feel you are seeing things that aren’t really there, reach out to your doctor. They will rule out other causes of visual hallucinations like neurological conditions or medication-related side effects. If your doctor thinks you have Charles Bonnet Syndrome, they will give you techniques to manage the hallucinations. 

These include:

• Changing Your Lighting Conditions and Environment
• Blinking Frequently or Moving Your Eyes Side-to-Side
• Sleeping, Exercising and/or Relaxing, as Fatigue and Stress can Exacerbate Hallucinations

If you or someone you know has AMD and experiences visual hallucinations please schedule an eye exam at Doctor & Associates-203-227-4113, visit Doctor & Associates in Fairfield County, or Facebook to schedule an appointment.

Doctor & Associates offices are conveniently located at 129 Kings Highway North, Westport, Connecticut 06880, 195 Danbury Road, Wilton, Connecticut 06897 and 148 East Avenue, Norwalk, Connecticut 06851.

AMD Facts to Know

Age-Related Macular Degeneration (AMD) is the leading cause of blindness in seniors. The disease harms central vision and limits a person’s ability to read, write and recognize faces. Older Americans who are unaware of the disease may be putting themselves at risk. The good news is that they can protect their sight with routine eye exams and some lifestyle changes. New treatments and protective steps can help people with AMD avoid vision loss. Here are some facts we think you should know:

• The early warning signs of macular degeneration are subtle and easy to miss

In the earliest stages of AMD, you may not notice any changes to your eyes or vision. But at the same time, an early diagnosis allows for timely treatment. So how can you be sure to catch the disease early without obvious symptoms? The best defense is to get a comprehensive eye exam, even if you don't need glasses or contacts. The American Academy of Ophthalmology urges adults with no symptoms to have an eye exam at least by age 40. After age 65, it's important to get an exam every one to two years. But don't wait until age 40 if you notice problems with your eyesight or have eye discomfort.

• Family history shapes your risk of macular degeneration

If you have a close family member with AMD, you have a greater risk of getting the disease. Before your next eye exam, speak with your family about their eye health history. Catching AMD early could better your chances of saving your sight.

• You can't reverse vision loss from macular degeneration, but you can save your remaining vision

Fifteen years ago, there was little that we could do to stop AMD from stealing people's vision. The most advanced form of disease, called "wet" AMD because it causes fluid to leak from blood vessels in the eye, often caused blindness. Thanks to major advances in treatment, such as the use of anti-VEGF drugs, fewer people are going blind.

• Vitamins can slow macular degeneration (in some cases)

If you have AMD, you may have heard that the AREDS 2 vitamin formula can help slow the disease. Clinical trials show that these vitamins for AMD can help with intermediate or advanced AMD in one eye. Trials have not shown that they prevent AMD in people who do not have the disease.

• Smoking increases your risk of age-related macular degeneration

Many studies have found that smoking cigarettes can increase risk of AMD. Smoking also increases the speed at which the disease worsens. If you smoke, you are twice as likely to get AMD compared with a nonsmoker. The good news is that stopping smoking is the best action you can take to lower your risk of AMD. People who quit smoking 20 years ago have the same risk of AMD as people who have never smoked.

• Daily vision checking at home is effective at monitoring AMD progression

The Amsler grid is a simple chart that people with dry AMD can use at home to check for changes. All you have to do is look at it once every day! Learn how to use the Amsler grid to track progression and risk of AMD-related vision loss.

• Eating certain foods may cut your risk of macular degeneration

Studies have shown that foods rich in omega-3 fatty acids are good for eye health. Studies link eating these foods with a reduced risk of AMD-but not when taken as supplements. Other nutrients that help eye health include lutein, zeaxanthin, zinc and vitamin C.

• Exercise can help protect your vision as you age

Many studies show getting regular exercise can benefit your eyes. One study found that exercising three times a week reduced the risk of getting wet AMD by 70%. Studies also show that exercise reduces the risk of all stages of AMD.

Please schedule annual eye exams as AMD vision loss can be prevented with early detection and treatment. Schedule an eye exam at Doctor & Associates-203-227-4113, visit Doctor & Associates in Fairfield County, or Facebook to schedule an appointment. Doctor & Associates offices are conveniently located at 129 Kings Highway North, Westport, Connecticut 06880, 195 Danbury Road, Wilton, Connecticut 06897 and 148 East Avenue, Norwalk, Connecticut 06851.     

6 Tips for Using Glaucoma Eye Drops Effectively

Did you know that less than 50% of glaucoma patients use their eye drops properly and risk vision loss? Glaucoma is a leading cause of irreversible blindness in the United States. When glaucoma is treated in its early stages, vision loss can be prevented. Recent studies show that more than half of glaucoma patients do not adhere to their prescribed treatment plans due to factors including difficulty in applying eye drops, lack of medication education and forgetfulness. Here are 6 tips to help overcome glaucoma medication challenges:

• Be honest with your eye doctor about your medication difficulties. Missed a dose? It may not seem to matter much, but research shows that skipping doses can cause your glaucoma to become more severe. Be candid with your eye doctor about any problems you face in taking your medicine regularly, and ask about the best way to make up for a missed dose. The more you tell your doctor, the better he or she can help you find ways to customize your treatment plan to make it more manageable for your lifestyle.
• Ask for help from health professionals and loved ones. It can be difficult to keep track of which meds to take and when. Talk with your ophthalmologist or pharmacist about your medications, their impact and possible side effects. Also, use the buddy system and tell your friends, family and caregivers about your condition and treatments. Consider taking a loved one or caregiver with you to your eye appointments, so they can help you follow your treatment plan when you're at home. They may also be able to help you apply your eye drops at home.
• Use memory aids. The most common reason for not taking eye drops is forgetfulness. Try simple memory aids like linking your eye drop schedule to other things you do routinely. For example, put your eye drop bottle next to your toothbrush or your pill box if you take other medications. Try using physical reminders such as marking off a calendar when you use your drops, or moving your eye drop bottle from one place to another after you've applied your drops. Also, take advantage of today's technology and set an alarm on your phone to help you make your medication a part of your daily routine, or look for free smartphone apps and other tools.
• Perfect the "pocket." Giving yourself eye drops can be challenging. In fact, research has shown that nearly 30 percent of people taking glaucoma medication are not properly applying their eye drops. This should involve gently pulling and pinching the lower lid to make a pocket to catch your drops. Once the drops are in, close your eyes (do not blink) and apply pressure to the point where the lids meet the nose for two to three minutes.
• Don't use pot as a glaucoma treatment. Don't fall for rumors that medical marijuana can replace glaucoma medications. Prescription medicated drops are much more effective at treating the condition and have fewer risks than marijuana. Marijuana can also affect memory, which could make it more difficult to remember your treatments.

Certain factors put people at higher risk of developing glaucoma. These include age, family history of glaucoma, African-American and Hispanic-American ancestry, diabetes and past eye injuries. The American Academy of Ophthalmology recommends that all people get an eye exam by age 40, especially those who have a higher risk of glaucoma.

If you or someone you know is over 40, or has other glaucoma risk factors please schedule a glaucoma eye exam at Doctor & Associates-203-227-4113, visit Doctor & Associates in Fairfield County, or Facebook to schedule an appointment.

Doctor & Associates offices are conveniently located at 129 Kings Highway North, Westport, Connecticut 06880, 195 Danbury Road, Wilton, Connecticut 06897 and 148 East Avenue, Norwalk, Connecticut 06851.