FAQ - Hepatolenticular Degeneration
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How do I treat mucinous degeneration of the anterior cruciate ligament?


I have been diagnosed with mucinous degeneration of the anterior cruciate ligament but don't understand what the best method of treatment is? I also have a prominent fissure in the lateral patellar articular facet. What exactly is a "fissure"?
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quadriceps exercises , avoid exertion , pain killers ,  (+ info)

What is the very first symptom of macular degeneration?


What is the very first sign/symptom of macular degeneration? What does a drastic change in vision in one eye mean?
What are the symptoms of macular degeneration? Can macular degeneration, caused by arthritis medication, be stooped?
If it can be detected early, and is caused by an arthritis medication, can it be reversed when the meds are discontinued, or will the degeneration continue once it starts?

Thanks!!
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swollen testacles  (+ info)

How do you maintain your independence with macular degeneration?


My 78 year old step dad has advanced macular degeneration. He used to enjoy cutting the grass, cooking and reading crossword puzzles. Please share any information that is useful in maintaining his independence. Thank You.
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Hi, and this is a good question !
I will just elaborate a little more on the first answer.
There are many visual aids available through the Braille Institute, the Foundation Fighting Blindness, and online companies that will send you catalogs of their products.
There are products such as talking watches, screens to magnify television screens, clocks and telephones with large and dark lettering and numbering, monoculars for long-distance viewing, and cctv's for intense magnification, along with so much more.
I recommend that you try to get him involved with a local Braille Institute asap. They have classes for all ages of visually impaired people, subjects such as cooking and art, learning Braille, and orientation and mobility, and how to adapt to macular degeneration. They will also issue him a library of congress card, which allows him to check out several large print books at a time., or even books on tape. Braille Institute even has private buses that will pick him up for classes.
If he is resistant to wanting to go the Braille Institute route, I suggest that you discuss the benefits of getting a social worker for his case, who can point him in similar directions.
I think that it is wonderful that you are asking!  (+ info)

If someone has Diabetes and macular degeneration, Do they still need to have a yearly dilated eye exam?


I have a couple of diabetic patients that state they do not need to have a dilated eye exam since they have macular degeneration. If this is true,what is the rationale behind this?If not true, what is the rationale?
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Macular degeneration (MD) is just one of the complications of diabetes affecting the eye. With MD, one's visual acuity certainly goes down but can still perceive light & gross motion (blurry). So the eye is still useful.

The dreaded complication however is retinopathy. As everywhere in the body, vessels in the eye are also affected (due to excess of glucose in the blood, certain products are formed that deposit in the vessel wall. This makes them stiff and narrow) So with retinopathy,
1. The stiff vessels are not flexible & can burst causing a bleed in the eye rendering it completely blind.

2. The narrow stiff vessels lead to less oxygen delivered to the retina. Due to body's intrinsic reflexes, certain chemicals are released in the areas that do not get blood (oxygen) which forms new blood vessels in an attempt to increase oxygen delivery. However, these "new" blood vessels aren't perfect and easily burst & bleed leading to complete blindness.

3. Small bleeds (that do not cause blindness) eventually heal with scaring (like a contusion anywhere else in the body). The scar tissue contracts. This detaches the retina from its "bed" leading to retinal detachment and eventual degeneration and consequent complete blindness.

I dont intend to give a lecture in ophhtalmology, but you see, it is imperative for regular eye check up in diabetics. Needless to say, pristine glucose control is imperative!

Good luck with your patients... convincing them is quite a job (my mom is a diabetic with retinopathy so I know what it takes to get her to the doc!)  (+ info)

Will a cats pupils react to light if they have retinal degeneration?


My cat was recently diagnosed with retinal degeneration. It was brought on by an excessive dosage of Baytril. (prescribed by an ER vet) He seems to have some vision left. He almost seems to have tunnel vision or to be far sighted. His pupils are very large at night and will stay that way, but when he is in natural light they retract back down to normal. Is this a sign that he does still have some vision?
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My cat had detached retina and was blind for a few days. During that time his pupils stayed the same size. The Vet was able to prescribe something that restored his sight. We must give it to him every day but we don't mind. You might ask your Vet about that.  (+ info)

Is another symptom of macular degeneration the need for brighter light to see?


My dad has Macular Degeneration and seems to need brighter and brighter light to see. This is even in daylight hours. I just want to make sure I'm not missing something and that there's something else going on along with the Macular Degeneration.
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According to the website Macular Degeneration Support blurry vision that goes away in bright light is a symptom of dry macular degeneration. If your father is continuing to require brighter and brighter lights, this could be a sign of the disease progressing into the advanced form of the disease. In any case, a visit to your eye care specialist may be required to confirm that there is nothing else that is causing this problem.  (+ info)

How long does it take for severe damage to be done with macular degeneration?


My mother, who is diabetic, was diagnosed today with early macular degeneration. How long before her vision is significantly compromised?
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While even people with good control may suffer complications it is known that diabetic complications progresses more rapidly with poor control and good control will slow its progress. Some complications like Neuropathy will actually reverse with good control not sure about macular degeneration. There is also an age related form of macular degeneration. The good news is that you don't need to worry if you can't maintain good control at all times. You still gain the benefits from the periods of good control that are never completely negated by the periods of poor control. Have her to the Eye Dr. at least once a year. As long as she can maintain good control and her exams show no progression the answer is a long time. If there is a noticeable change from year to year you will have the opportunity to discuss other treatment options with the Eye Dr. and or lifestyle changes you will need to make.  (+ info)

How serious is retinal degeneration problem?


I am 37 yrs old. I have been using glasses for the past 25 years. I have -6 in left eye and -4 in right eye for the past 20 years.. I had retina check up all these days. Suddenly this time my doctor said my power has increased and I have retinal degeneration and I have to be on observation. What care I need to take? Can any one suggest me how to reduce retinal degeneration? How serious is this problem?
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Keep an eye on it. No pun intended. Have your sugar checked by your regular doctor, could lead to diabetic retinopathy, and sometime this retinal degeneration. leads to a detached retina. I would say your doctor is on top of this and I would follow his advice. He and your regular doctor can keep this under control.
Beautiful answer by Nitu Ram D!!  (+ info)

Can you tell me about the macular degeneration treatment Dr. Oz talked about on Oprah this week?


A friend told my Mom that Dr. Oz talked about a treatment for macular degeneration last week. Can you tell me anything about it or just what it is called?
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I believe it is the treatment where they put stem cells right into the retina and it causes regeneration to occur.  (+ info)

why are there multi-colored images associated with macular degeneration?


My wife has wet macular degeneration and receives regular shots of Lucentis. Lately she reports seeing "flowers" of various colors in her field of vision even though there are none there. Are the "flowers" a result of the disease or a result of the shots?
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could be either. probably cortical images anyway...doubtful that she's "seeing" those with her EYES...more like her brain is creating the image in the absence of good info from the eyes  (+ info)

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