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Forms of Macular Degeneration

There are two forms of macular degeneration, dry (non-neovascular) or wet (neovascular). The term neovascular refers to the growth of new blood vessels.

Dry AMD (non-neovascular)

Dry AMD is the most common form of the disease, making up about 85%-90% of all cases of AMD. It is characterized by blurred central vision or blind spots, as the macula begins to deteriorate. Dry AMD is an early stage of the disease and is less severe than the wet form,.

Dry AMD occurs when the aging tissues of the macula begin to thin out and break down. Tiny pieces of white or yellowish protein called drusen begin to appear, which are thought to be deposits from the macular tissue as it deteriorates. The appearance of these drusen are often what leads to a diagnosis of AMD during an eye exam.

With dry AMD vision loss happens gradually, however, the dry form can progress to wet AMD rapidly. There is currently no cure for dry AMD, however there is research that shows that some people can benefit from supplemental vitamin therapy including antioxidants, lutein and zeaxanthin.

Wet AMD (neovascular)

Wet AMD is less common occurring in only about 10 percent of those with AMD. AMD is classified as Wet AMD when abnormal blood vessels begin to grow under the retina and leak fluid and blood into the macula, resulting in blind spots and a loss of central vision. Wet AMD can cause more damage to vision and permanent scarring if not treated quickly, so any sudden blur in vision should be assessed immediately, especially if one is aware that they have AMD. Usually vision loss happens faster and is more noticeable than in dry AMD so the quicker it is treated, the more vision you can preserve.

BIG NEWS!

We’ll soon be “Eyes on Main”! And that’s not the only news... please offer a warm welcome to Dr. Mike Gowen.

From Dr. J:

I opened my office in 1990 – That’s 30 years coming up on August 1st!!   In some ways it feels like yesterday, and in others, like forever.  Along with so much else that has changed this year, one more occasion is on the horizon.  I am excited to announce that I am selling my practice to Dr. Mike Gowen.  Dr. G and his wife, SallyAnn, met at Virginia Tech close to 40 years ago. They have been proud and loud Hokies ever since and dreamed of returning to live in Blacksburg.  Both are strong supporters of the arts, athletics and the civic engagement that make this a very special place to live, work and play!

I am thrilled to be handing the baton to a doctor who believes as I do in community service. Plus, he is laser focused also on individualized patient care, personal and professional intellectual advancement and enjoying the good things and kind people who come along every day.

Better yet, I’m not going anywhere!  I will continue seeing patients, focusing on visual rehab for those suffering from concussions/TBI, working to control the progression and consequences of nearsightedness through orthokeratology and other treatments, and counseling all regarding the inter-relation of the eyes, brain and body, along with the importance of nutrition, exercise and mental well-being.  There’s so much I yet want to learn and do, and now I won’t have to worry about arguing with insurance companies.  I’m excited!

From Dr. G:

It’s impossible to express how pleased I am to be moving to Blacksburg. It has long been the dream of my wife and I to become a part of this unique town, where we met as Virginia Tech students and continued to frequent as alumni.    I look forward to the privilege of serving the people of Blacksburg and bringing my lifetime of experience in the field of eye care to serve one and all. I'm delighted that Dr. Steve Jacobs will remain with the practice, which will now be “EYES on Main.” I consider it a great privilege to continue the exemplary patient care and community service that Dr. Jacobs has and will continue to provide to the New River Valley. Together we will serve the Blacksburg community with the same culture of care and community involvement that has always been a part of this practice.

 More updates to follow.  Send us a message or give us a call with questions, comments, or to set up an appointment.

We can always be reached at 540-953-0136!

Sincerely,Dr. J, Dr. S, Dr. G & staff