Signs Vs. Symptoms of Macular Degeneration

Signs Vs. Symptoms of Macular Degeneration

Signs of a disease are actually “findings upon an examination.”  Signs are what a doctor sees.  Symptoms are what ails the patient.  Both signs and symptoms should match up to make a diagnosis.  Sometimes there is a disconnect, that is, signs are present, but no symptoms, etc.

Signs of macular degeneration include drusen, pigment changes, serous fluid and blood;

  • Drusen – either “hard” or “soft”
    • Hard Drusen – fine well defined white spots in the retina
    • Soft Drusen – larger, lacier edged white spots
  • Pigment Changes – either increased or decreased pigment
  • Fluid – actual clear accumulation of fluid in the retina
  • Blood – er, blood

Symptoms of Macular Degeneration include;  blurry vision, distortion and scotomas (dark/blind spots in the vision).

What Does This Mean? If you have symptoms of macular degeneration, and the symptoms are persistent, then I’d recommend your eye doctor examine you.  If your doctor examines you and see “signs” of macular degeneration, then a fluorescein angiogram might be ordered to help confirm the diagnosis.  Not everyone will insist on a fluorescein angiogram.

A fluorescein angiogram will demonstrate areas of degeneration (defects in the RPE layer of the retina) and can also confirm suspicious area of neovascularization; leading to the diagnosis of “wet” macular degeneration.

Sometimes, patients have no complaints, but a doctor notices drusen in the retina.  Not all drusen are associated with macular degeneration.  Some drusen are normal for patients.  Taking into account the patient’s age, vision and lack of symptoms, it is likely that these “drusen” are normal and not associated with disease.  The fluorescein should be normal.


Randall V. Wong, M.D.
Ophthalmologist, Retina Specialist
Fairfax, Virginia

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  • Laura
    Posted at 21:03h, 28 January Reply

    Thanks, this is the stage where I am.

  • Pingback:Symptoms of macular degeneration | Retinitis Pigmentosa
    Posted at 18:03h, 26 June Reply

    […] Signs Vs. Symptoms of Macular Degeneration – A Retina Eye Blog – Signs and symptoms of macular degeneration. Fluorescein angiography may be a helpful test to determine if the disease is present. […]

  • Avery
    Posted at 13:27h, 19 January Reply

    Dr. Wong…can the signs of macular degeneration look like central serous retinopathy?



    • Randall V. Wong, M.D.
      Posted at 20:08h, 19 January Reply

      Almost all macular problems or diseases, such as macular degeneration and csr, can have similar symptoms….they are affecting the same area!


  • w mahoney
    Posted at 21:21h, 06 July Reply

    have wet macular degeneration treated with luncentis shot in eye with sudden floater appearing tonight. Is ther any reason to be concerned?

  • w mahoney
    Posted at 21:24h, 06 July Reply

    macular degeneration treated with lucentis with sudden floater tonight

    • Randall V. Wong, M.D.
      Posted at 12:02h, 19 July Reply

      Dear W Mahoney,

      Floaters after intravitreal injection can be from air (small bubbles are sometimes in the medicine), blood from the injection or even a sign of a retinal tear.

      I hope by now things have resolved.

      Stay in touch.


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