What is macular degeneration?

Age-related macular degeneration (AMD) is a progressive eye condition that affects the macula, the central part of the retina responsible for sharp, detailed vision. AMD is the leading cause of severe vision loss in adults over 50 in the United States. At Orchard Ophthalmology in Farmington Hills, MI, Dr. Mavis M. Gappy, M.D., evaluates and manages both dry and wet AMD.

What are the types of macular degeneration?

There are two main types of AMD. Dry AMD (atrophic) is the most common form, involving gradual breakdown of light-sensitive cells in the macula. Wet AMD (neovascular) is less common but more severe, involving abnormal blood vessel growth beneath the retina that can leak fluid and cause rapid central vision loss. Wet AMD requires prompt treatment to prevent permanent vision damage.

What are the symptoms of macular degeneration?

Early AMD may cause no noticeable symptoms. As it progresses, symptoms can include blurry or distorted central vision, difficulty reading or recognizing faces, straight lines appearing wavy or bent, a dark or blurry area in the center of vision, and decreased color brightness. Regular eye exams with Dr. Gappy can detect AMD before symptoms begin.

How is macular degeneration treated?

Treatment depends on the type and stage of AMD. Dry AMD may be managed with AREDS2 vitamin supplements, lifestyle modifications, and regular monitoring. Wet AMD is typically treated with anti-VEGF injections (such as Lucentis, Eylea, or Avastin) that reduce abnormal blood vessel growth and can stabilize or improve vision. Dr. Gappy creates a personalized treatment plan based on each patient's specific condition.

What are the risk factors for macular degeneration?

Major risk factors for AMD include being over age 50, smoking (which doubles the risk), a family history of AMD, obesity, high blood pressure, prolonged sun exposure, and being of Caucasian ancestry. Eating a diet rich in leafy green vegetables, wearing UV-protective sunglasses, and not smoking can help reduce your risk.

Does Medicare cover macular degeneration treatment in Michigan?

Yes. Medicare Part B covers medically necessary AMD treatments including anti-VEGF injections for wet AMD and diagnostic tests such as OCT imaging. Regular comprehensive eye exams for AMD monitoring are also covered. Orchard Ophthalmology accepts Medicare and most major insurance plans. Call (248) 432-7013 to schedule your appointment.

Where can I see a macular degeneration specialist near Farmington Hills, MI?

Dr. Mavis M. Gappy, M.D., provides expert macular degeneration evaluation and management at Orchard Ophthalmology, PC, located at 27970 Orchard Lake Rd., Suite 2, Farmington Hills, MI 48334. The practice serves patients from Farmington Hills, West Bloomfield, Southfield, Novi, and the greater Detroit area. Call (248) 432-7013 to schedule your appointment.

Macular Degeneration

Age-related macular degeneration (AMD) is a leading cause of vision loss in adults over 50, affecting the central vision needed for reading, driving, and daily activities. At Orchard Ophthalmology, Dr. Mavis M. Gappy, M.D., provides expert evaluation and management of macular degeneration to help protect your vision over time.

Macular degeneration, also known as age-related macular degeneration (AMD), affects the macula—the part of the retina responsible for sharp, central vision.
It typically develops gradually and can impact your ability to see fine details, recognize faces, or read clearly.
There are two main types:
- Dry AMD – more common, progresses slowly
- Wet AMD – less common but more serious, can cause rapid vision changes
Macular degeneration often develops without noticeable symptoms in its early stages.
Early detection allows for:
- Close monitoring of progression
- Timely treatment when needed
- Preservation of vision for as long as possible
Regular eye exams are essential, especially for patients over age 50.
You may be at higher risk if you have:
- Age over 50
- Family history of macular degeneration
- Smoking history
- High blood pressure
- Cardiovascular disease
- Blurred or distorted central vision
- Difficulty reading
- Straight lines appearing wavy
- Dark or empty areas in central vision
- Reduced ability to recognize faces
If you notice sudden changes in vision, prompt evaluation is important.
At Orchard Ophthalmology, we use advanced imaging and a detailed exam to evaluate the retina and macula.
Your visit may include:
- Dilated eye exam
- Retinal evaluation
- OCT imaging
- Monitoring for changes over time
We carefully review your results and discuss what they mean for your vision.

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Macular Degeneration

What Is Macular Degeneration?

Why Early Detection Matters

Risk Factors for Macular Degeneration

Symptoms of Macular Degeneration

How We Evaluate Macular Degeneration