Macular
Degeneration (Severe Sight Loss)
Age-related
macular degeneration (AMD) is an advanced stage of a deteriorative process
that takes place in all eyes and involves a progressive impairment of
the inner layers in the center of the retina. Its primary lesion appears
to be the retinal pigment epithelium (RPE), possibly resulting from its
high rate of molecular degradation.
Throughout the life span, cells of the RPE gradually accumulate molecular
debris. These residual bodies (lipofuscin) are remnants of the incomplete
degradation of abnormal molecules which have been damaged within the RPE.
Progressive
engorgement of RPE cells with these residues is associated with the extrusion
of abnormal materials. These extrusions contribute to the further deterioration
of the RPE. Loss of vision results from death of visual cells due to degeneration
of RPE cell. or the invasion of new blood vessels that invade the region
of abnormal membranes.
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