At A Glance:
- Autoimmune
- Characterized by formation of drusen in the retina
- May be directly tied to hormonal imbalances
- Has two (2) main forms: wet, and dry
- Can be effectively treated with diet and lifestyle modification and vitamin therapy
- May be somewhat effectively treated by laser surgery and/or use of drugs
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Is this you?
"It seems like I've been having a bit of trouble with vision lately. Some days are better than others, but it just seems like that one eye won't focus as well as the other one does -- and definitely not as well as it used to. Sometimes it seems like one eye just sees everything a little darker than the other -- especially right in the center. When I try to focus, there's a darker circle of image right in the middle of what I'm looking at. But do you know what's really weird? When I look at some pull-down blinds, it's like right where I'm looking, those straight blinds curve, and I don't think they're supposed to be like that, are they?"
It may be possible for these symptoms to be related to other causes, but this darkening center of vision along with the curving of straight lines is a well recognized sign of macular degeneration.
"Oh no, are you serious?!? I don't want to lose my eyesight... it can't be me... can it??? I mean, I've always taken care of my eyesight and worn sunglasses and stuff. Why is this happening to me?"
Well, that's a good question, and that's what you need to start figuring out because your body is sending you a message! Read on!
What it is:
Macular Degeneration, often called Age-related Macular Degeneration or AMD, is an affliction that affects the central vision or macula as a result of retinal damage. Characteristically, it tends to affect adults in the second half of life (often older than fifty) in one of two different forms: wet or dry. The wet form is a result of excess blood vessel growth behind the retina while the dry form is a result of accumulating deposits called drusen. All cases of AMD begin as the dry form.
Make it Go AWAY!
With that shaded vision looking like someone put a dark lense over your eye permanently, you feel you would give anything just to make it go away because you never signed up for this! Believe me, you are not alone in that thinking, and the first step toward working at making it go away is to get a feel for what is happening.
Macular Degeneration is an affliction of individuality, but nothing happens purely by accident. For every effect, there is a preceding cause even though the cause may be difficult to see at first. What this means is the specific cause (or causes) which trigger it in one individual are not necessarily the same specific causes triggering AMD in other individuals. This is, in part, why conventional means struggle to find a cure for it; there is not simply a single cause. In fact, reading about conventional treatments for AMD is very depressing if we were to believe these were our only options, but luckily, they are not! Unconventional therapies have been used for centuries and are quite advanced in comparison to their conventional counterparts. Working toward curing ourselves of AMD then requires some creativity, investigation, experimentation, and education on our parts. Fortunately, there are some guidelines we can follow to get ourselves started.
Education: What happens when you have macular degeneration -
I have never liked the stigma our society applies to many of our "diseases" -- that being a perception of, "once we have a 'chronic disease', we always have that 'chronic disease', and it cannot be cured." It is rather like saying, "once you have brown eyes, you always have brown eyes. You cannot be cured of them." While there is truth in the statement, it's more a matter of looking at the situation from the wrong direction. Our genetics make us predisposed to certain results that follow prior causes, and AMD is the programmed result of something that is happening inside of our bodies.
The first thing, then, in understanding macular degeneration lies in recognizing it is a part of who we are -- it is part of our uniqueness just as our eye and hair colors, the shapes of our mouths, and so on are all part of what make us special and unique. And all of this craziness we have gone though is actually a good thing -- a very good thing -- because it gives us a chance to learn more about ourselves and grow powerful as individuals as we learn that the control over our health is, for the most part, up to us!!!
Now, how do we get macular degeneration? A likely scenario is that we malnourish ourselves and build toxins in our bodies from at least two different angles, primarily: 1) the digestion of substances that are really not proper foods for us, and 2) the digestion of harmful additives found in what we eat. The improper nutritional balance combined with these toxins, and possibly a restricted blood supply from hardening arteries, throws off our hormonal system causing the macula to get jammed up with excess cholesterol as it becomes unable to fully form the required hormones it needs. It begins to form drusen, and if present long enough, our immune system sees drusen as antigens (the enemy) so it mounts an attack that begins to destroy the nearby retinal cells since the toxins are accumulating faster than the levels our normal channels can handle to eliminate them. Unfortunately, the zealousness of the immune system would be what damages the retina itself causing some major problems in our bodies from that point forward since it may not be possible for these retinal cells to be restored.
Can this be what really happens with macular degeneration? The complexities of the human body make it difficult to really understand the specifics. While it does seem quite plausible, the only way to really test our theories is to eliminate things we should not be eating, and observe our improved eyesight response as we hit on the correct eliminations.
Treatment: how to stop it -
This is really something naturopaths have understood for centuries -- that autoimmune and diet dependent conditions like macular degeneration are physiologically programmed responses to something we are doing wrong to ourselves. The key to stopping and possibly having a chance at reversing macular degeneration is to eliminate the triggers. Our bodies need to come back into balance with their environments so they can focus fully on healing themselves!
As long as we have a functioning retina, there can be hope, and many people do have one if they are just noticing symptoms now or reading this. Since the affliction and triggers are different in all of us, this is no simple task, but the process can be made as easy as possible in part because anti-inflammatory agents are very important here, and in part by suggesting a simple type of fasting. Basically, it entails eliminating nearly everything but the most benign of foods (it is only for a little while to start). The process would be continued until the macular degeneration stabilizes and maybe even starts vanishing. As that happens, we know something(s) we were eating is the primary trigger in us so the process would be further continued until the macular degeneration signs are completely gone at which point foods would be gradually added back to see what happens.
As these are normally considered harmless foods to everyone, the ones recommended to eat initially are:
- proteins: cod, sardines, walnuts (omit for known allergies to tree nuts)
- fats: olive oil
- greens: beet greens, broccoli, collard greens1, kale1 (raw is important, but mix raw and cooked)
- fruits: blueberries, cherries, figs, pineapple, plums (raw is important, but mix raw and cooked)
- spices: ginger root, fresh or dried parsley, onions (raw is optimal)
- drinks: water (pure and filtered, spring water preferred)
All others would be removed from the diet temporarily including grains and starches which are quite often part of the problem. (Believe it or not, breads and pastas are often a huge problem for a lot of people, not just because of allergies, but because they are very inflammatory to the body and generate high spikes in blood sugar (high glycemic index).)
In many cases, a strict vegan diet for one or two years works wonders to improve energy levels and clear a bothersome medical condition. Some people even maintain that course for life -- truly a very healthy path though I personally feel after a two year or so cleansing period, it is likely a person could add back some non-vegan foods in small quantities (fish or fowl, for example) without suffering further negative effects. Again, the results would be carefully observed.
Herbs and Alternatives -
After narrowing the diet down to the above list for a period of time, hopefully you begin to find some relief. At this point, there are some things which can be added in, one at a time, to see if they have an added positive and, perhaps, healing effect. Keep in mind that while many medicinal herbs are safe and side-effect free, not everyone can safely take all herbs. Some herbs may not be right for your body, some herbs can be very potent and potentially dangerous, and if you are pregnant or nursing, you should ask a medical professional if you have any questions. The following may be helpful to you and should be tested individually to mark your reaction:
- Beta carotene: (from carrots, pumpkin, beets) is an antioxidant which helps reduce cancer risk (except in current smokers where lung cancer risk is actually increased). It also improves vision characteristics when it converts to vitamin A which is stored in the eye in large quantities. One significant study seems to support the use of copper, vitamin C, vitamin E, and zinc combined with beta-carotene to improve the effects of macular degeneration.
- Bilberry: may help improve vision (as reported by RAF pilots in World War II) -- especially night vision, and may help reduce macular inflammation. Anecdotely, some claims have been made that bilberry has helped totally reverse macular degeneration.
- Biotin: increases in the intake of the B-vitamin, biotin, have been shown to improve vision as soon as a week or two in some macular degeneration cases. 500 - 1000 micrograms per day has been used as a supplemental dosage.
- Cod liver oil: has wonderful anti-inflammatory effects on the body but does contain significant amounts of Vitamins A and D. The omega-3 fatty acids seem to be very important for improvements in vision
- Copper: is beneficial primarily in the sense that it offsets zinc intake since zinc and copper compete in the body. One significant study seems to support the use of beta-carotene, vitamin C, vitamin E, and zinc combined with copper to improve the effects of macular degeneration. If supplementing with zinc, a 7:1 ratio of zinc:copper should be maintained; however, copper is not normally something we need to add to our diets. Good sources of copper are: black beans, hazelnuts, pecans, pine nuts, pinto beans, portabella mushrooms, pumpkin and squash seeds, seaweed, sesame seeds, shrimp, and walnuts
- Fish oil: has some incredible anti-inflammatory effects on the body. The omega-3 fatty acids seem to be very important for improvements in vision
- Gingko biloba: helps the body improve blood flow
- Leutine: (from spinach, egg yokes, zucchini) seems to play an important part in keeping the eye healthy and even preventing macular degeneration
- Saffron: a handful of studies now strongly indicate this herb's ability to substantially improve eye function. There are a number of beneficial carotenoids -- particularly crocin, anti-oxidants, and other nutrients which seem to be responsible for saffron's beneficial behavior. Clinical trials used 20 mg per day for three months. Improvements were noted within two weeks. Speculation has been offered that if supplementation is continued for twelve to fifteen months, the positive improvements may continue without further supplementation. Care should be taken to keep doses to a level that would normally be eaten since larger quantities of 1g to 2g or more can be toxic and possibly lethal
- Taurine: is highly concentrated in the retina and visual cells. While humans do manufacture some of this amino acid, we cannot make very much, and our ability to synthesize it seems to decline with age; therefore, it is an important dietary component. The current recommended supplemental amount for vision support is 100 mg per day
- Turmeric: is a powerful anti-bacterial and anti-inflammatory root
- Vitamin C: the eye stores massive quantities of vitamin C in both the vitreous humor and in the retina. One significant study seems to support the use of beta-carotene, copper, vitamin E, and zinc combined with vitamin C to improve the effects of macular degeneration. Having the right levels is important to eyesight
- Vitamin E: is a strong antioxidant which also helps dilate blood vessels. One significant study seems to support the use of beta-carotene, copper, vitamin C, and zinc combined with vitamin E to improve the effects of macular degeneration. Good sources are: almonds, avocado, broccoli, brown rice, dandelion greens, green olives, hazel nuts, pine nuts, sardines, spinach, and sunflower seeds
- Zinc: is is used by the body to create numerous enzymes and is found in the retina in extremely high concentrations compared to the rest of the body. One significant study seems to support the use of beta-carotene, copper, vitamin C, and vitamin E combined with zinc to improve the effects of macular degeneration. High zinc intake depletes copper in the body; therefore, if supplementing with zinc, a 7:1 ratio of zinc:copper should be maintained. Good zinc sources include: beef, black beans, brown rice, cashews, eggs, flax seeds, mozzarella, peanuts, pecans, pine nuts, pinto beans, pumpkin and squash seeds, sesame seeds, sunflower seeds, venison, walnuts, and white beans
Questions:
What about acupuncture? -
I am a strong supporter of acupuncture having, myself, seen results first hand. When acupuncture is used, patients having been studied report a unanimous "lifting of the curtain" of dark vision, and for the most part, dramatic vision improvements are the norm! Acupuncture seems to allow the body to heal itself more readily and restore normal function in ways we cannot always do alone so it would seem to be highly recommended as a treatment for AMD.
Question: What if I don't eat those foods or don't know how to eat those foods? -
Given that what you have been doing up to this point is not working out for you, it seems change is in order. There are plenty of recipes available with an easy search online, and they can help you learn how to prepare new foods.
Another question: Um... that's a pretty short list. I can't limit myself to only this list, can I? -
Ask yourself, "do I want to keep my eyesight???" Remember, this is your health we're talking about -- your life! It's well worth doing everything you can to get on top of it! And, it is only for a short time at first.
Next question: Can changing my diet and lifestyle really improve my health and make me feel better? -
Absolutely! If our bodies cannot tolerate a so-called "food" on the inside, then it is a poison to us, and a poison is a poison no matter how small the quantity. Once we stop poisoning ourselves, we start feeling better. I have seen the difference in my life, and countless others have seen the differences in their lives, but don't just take someone's word; try it yourself -- really try it!
Shouldn't I just follow the standard scientific approach to healing? -
You may if you wish; it is an option; however, you should also be aware of the pitfalls with this approach toward health and healing, and the number one pitfall is how it takes the "innocent until proven guilty" viewpoint in saying, "there's no proof." This is great for the legal system, but it's not so great when ignorance is traded for potentially vast damage to the body. A prime example of this is smoking of tobacco which, despite being linked to cancer by German scientists as far back as the late 1920's, was not proven in popular culture and the medical and legal communities to be detrimental to health until the last decade or so. Yet, it was still causing ill effects to health the entire time.
Sudden Infant Death Syndrome (SIDS) is another example. In the 1980's protocol to help prevent SIDS was to place babies to sleep on their backs. By the '90's, the science world had realized the error of its ways and now proclamied babies should sleep on their stomachs. But in the new millenium, the "safest" method was again to place them to sleep on their backs. Such capriciousness is a clear indication of a lack of understanding how to handle the problem.
A final point though is, why re-invent the wheel? In many ways, we already have what we need. A myriad of herbs and various plants along with other techniques that have evolved over the centuries are often already sufficient to solve today's health problems.
This sounds awfully good! Why don't I hear about these options from regular doctors? -
You're right! It is good, and to some extent, we may hear from them a little about dietary improvement as an aid in treatment for macular degeneration, but usually only as a small part of the treatment. The big reasons for this are money, licensing, and legal protocols. In general, a licenced medical practitioner cannot prescribe a treatment to a patient if it isn't FDA approved nor completely neglect a "viable" treatment that is approved. Under current standards, an herbal and/or natural treatment plan will never be submitted to the FDA for review and subsequent approval because large drug companies and medical organizations cannot profit from them since they cannot create a unique or proprietary patent on herbs or natural treatments. Luckily, many foreign countries such as Germany have seen value in alternative treatments so they have gone ahead with research in these areas.
Examples and Success Stories:
Examples: success stories -
There are a number of stories of people who have successfully and dramatically improved their eyesight using acupuncture.
There have also been clinical studies conducted in Australia using saffron. In these studies, Sydney University professor, Jonathan Stone, observed significant vision improvements using a double-blind study where subjects were given 20 mg of saffron daily for a period of three months. Related research in Texas and in Italy also demonstrates saffron's ability to help eyesight.
There are also a great number of success stories, many of which can be found online, where people have been using varied concoctions of bilberry, blueberry, leutein, vitamins C and E, and zeaxanthin to improve, and even reverse, their macular degeneration.
There further seems to be some success based off of a study done by the National Eye Institute which uses 25,000 IU of beta-carotene, 2 mg of copper (cupric oxide), 500 mg of vitamin C, 400 IU of vitamin E, and 80 mg of zinc (zinc oxide) to slow the progression of macular degeneration.
Complications and Links to Other Diseases:
Complications: other things to consider -
Cholesterol - there is speculation that a lower cholesterol diet may help greatly since drusen contains a lot of cholesterol; however, this is not supported in studies done with drugs that control cholesterol levels in the body. So far cholesterol drugs have no effect on improving macular degeneration. This has led to some additional speculation that cholesterol levels may not be the culprit at all, but instead we are seeing cholesterol left over from hormone precursors which, for some other reason, are being incorrectly processed by the eye.
Echinacea - this herb is a strong immune system stimulant. It is normally not recommended to combine an immune stimulant with an autoimmune condition due to the likelihood of aggrevating the condition, and it is unknown whether or not AMD is autoimmune, but there is some suspicion it may be.
Fat - high fat levels in the diet have been implicated with elevated risk of macular degeneration. Removing foods such as butter, cheese, red meat and other high-fat dairy products can help greatly. Increasing cold water fish with omega-3 is very good though as it helps reduce inflammation.
Grains - these refined foods appear to be implicated more than we may realize in poor eyesight. They tend to be rather inflammatory to the body and have a high glycemic index (meaning that they tend to spike blood sugar rapidly). Neither of these features is good for the eyes or the body.
Sugars (added) - refined, and even unrefined cane sugars, along with corn syrup, and molasses are very inflammatory to the body and should be avoided. In addition, excess sugar in the blood had a tendency to damage the eyes.
Fatigue - this is a significant factor in most areas of life, and tired eyes simply do not see as well; however, several herbs may be of benefit. Both ginger and turmeric are recommended because of their anti-inflammatory effects as well as their ability to improve alertness. Gingko biloba and ginseng can also help improve energy levels since gingko dilates blood vessels and ginsing has a distinct stimulating effect.
Conventional Treatments:
Conventional treatment of macular degeneration varies depending upon whether it is the wet or dry form. For the wet form, treatment involves: - Injection of drugs
- Laser surgery
- Photodynamic therapy
while for the dry form, treatment involves the use of high potency concoctions of antioxidants and zinc.
In version one, special drugs are injected directly into the eye where the drugs will block a growth factor present there. This growth factor causes the new, unwanted blood vessels to grow. This particular therapy seems to slow vision loss and in some cases even improve sight.
Version two uses precisely focused laser beams to destroy blood vessels that are deemed fragile and prone to leaking. The effectiveness of this treatment is dependent upon the location of the blood vessels in question. The more distant they are from the center of the macula, the better the response to treatment is.
The third option is to inject a drug called verteporfin into the body where it seems to bond to new blood vessels. Light is then used to activate the drug now present in the new blood vessels in the problem area of the eye. As the drug activates, it destroys the blood vessels. This method prevents the damage to healthy tissue seen with laser surgery, but it does not seem to be reliable as a permanent fix.
With the dry form, the National Eye Institute sponsored a study called the Age Related Eye Disease Study (AREDS) in which a blend of nutrients was used to test if it would help slow or stop AMD. Some practitioners now use this blend as dry form treatment. The blend is: 25,000 IU of beta-carotene, 2 mg of copper (cupric oxide), 500 mg of vitamin C, 400 IU of vitamin E, and 80 mg of zinc (zinc oxide).
No one of these approaches is very good though because no one of them is 100% successful and no one of them solves the underlying problem -- the growth of unwanted blood vessels at the back of the eye or the appearance of drusen.
Footnotes:
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