Cause
Vision loss from
age-related macular degeneration (AMD) is caused by
damage to the light-detecting nerve cells in the
macula. The cause of this damage to the nerve cells is
unknown.
Dry AMD
In
dry
AMD, cells in the macula break down, resulting in vision problems. No
one knows why some people get AMD but others do not. In the early stages of dry
AMD, a type of debris called
drusen, which comes from cells, builds up in the area
under and around the macula. When viewed with
ophthalmoscopy, which is a way of seeing inside the
eye, drusen appear as yellowish white spots under the
retina. Although some small drusen can usually be
found in the macula as a normal result of aging, the development of numerous
large drusen is associated with AMD.2
Wet AMD
Wet AMD is caused by the growth of abnormal blood
vessels under the macula. Experts are still studying why this happens. The
blood vessels break easily and leak blood and fluid under the macula. The
excess blood and fluid, along with abnormal scar tissue that forms under the
macula, distort and damage the macula.