Macular Degeneration and Other Hereditary Disorders
Monitoring and management of macular degeneration and inherited retinal disorders to preserve central vision and quality of life.
Macular degeneration (AMD) is a progressive disease affecting the macula — the central part of the retina responsible for sharp, detailed vision. Hereditary retinal disorders such as retinitis pigmentosa, Stargardt disease, and Best disease are genetic conditions that also cause progressive vision loss, often beginning earlier in life.
We perform comprehensive retinal evaluations using dilated fundus exams, OCT imaging, and fundus photography to detect and monitor these conditions. For age-related macular degeneration, we assess for both dry and wet forms, monitor for conversion, and coordinate anti-VEGF injection therapy with retinal specialists when indicated. For hereditary disorders, we provide genetic counseling referrals and low vision support.
While many hereditary retinal disorders have limited curative options, early detection allows for proactive monitoring, timely specialist referral, and lifestyle or nutritional interventions (such as AREDS2 supplementation for AMD) that can meaningfully slow progression. Our goal is to help you maintain the best possible functional vision for as long as possible.
Answers to help
you make an informed decision.
Who might consider this treatment?
Monitoring for macular degeneration is strongly recommended for adults over 50, especially those with a family history of AMD, fair skin and light eyes, a history of smoking, or significant sun exposure. Patients with hereditary retinal disorders should begin monitoring based on the age of onset typical for their specific condition.
What is the typical experience?
Evaluations for macular and hereditary retinal conditions involve dilated fundus exams, OCT retinal imaging, and fundus photography — all of which are non-invasive and well-tolerated. Our optometrist will share your imaging results with you and explain what they mean for your vision going forward.
How long does it usually take?
A comprehensive retinal evaluation typically takes 45 to 60 minutes, including dilation time. Monitoring visits for established patients are usually more efficient, taking 30 to 45 minutes depending on what testing is performed.
Is there anything to keep in mind?
Lifestyle factors can play a meaningful role in AMD progression. Our team may recommend AREDS2 nutritional supplementation, UV protection, smoking cessation, and dietary changes as part of your overall management plan. These interventions work best when started early.
What should I know about recovery after?
There is no recovery needed after a retinal evaluation beyond the temporary light sensitivity and blurry near vision that follow dilation — typically lasting 2 to 4 hours. Bring sunglasses to your appointment and arrange a driver if needed, especially for your first visit.