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",[],[],{"_uid":6971,"color":6972,"plugin":6973},"3f0dfccf-c077-45e8-bc17-a194a9f20a06","#ffffff","native-color-picker",{"_uid":6975,"color":6972,"plugin":6973},"5482d1db-1b6e-4a08-ad14-abd20756c963",{"id":46,"_uid":6977,"body":6978,"images":7036,"headline":7037,"text_ref":7038,"component":6966,"sub_title":46,"margin_top":470,"cta_content":7128,"color_border":7129,"headline_ref":7131,"headline_tag":181,"in_container":3,"headline_look":181,"text_placement":46,"headline_weight":187,"color_background":7136,"margin_top_mobile":311,"margin_top_desktop":311},"4ca2a5e2-7f73-44f8-8aaf-ad3775648b7c",{"type":74,"content":6979},[6980,6988,6996,7004,7012,7020,7028],{"type":77,"content":6981},[6982],{"text":6983,"type":81,"marks":6984},"Altersabhängige Makuladegeneration: Was ist das?",[6985],{"type":86,"attrs":6986},{"href":6987,"uuid":25,"anchor":25,"target":90,"linktype":147},"https:\u002F\u002Fwww.fielmann.de\u002Fratgeber\u002Faugengesundheit\u002Fmakuladegeneration\u002F#was-ist",{"type":77,"content":6989},[6990],{"text":6991,"type":81,"marks":6992},"Ursachen der AMD",[6993],{"type":86,"attrs":6994},{"href":6995,"uuid":25,"anchor":25,"target":90,"linktype":147},"https:\u002F\u002Fwww.fielmann.de\u002Fratgeber\u002Faugengesundheit\u002Fmakuladegeneration\u002F#ursachen",{"type":77,"content":6997},[6998],{"text":6999,"type":81,"marks":7000},"Arten der AMD",[7001],{"type":86,"attrs":7002},{"href":7003,"uuid":25,"anchor":25,"target":90,"linktype":147},"https:\u002F\u002Fwww.fielmann.de\u002Fratgeber\u002Faugengesundheit\u002Fmakuladegeneration\u002F#arten",{"type":77,"content":7005},[7006],{"text":7007,"type":81,"marks":7008},"Makuladegeneration: Symptome",[7009],{"type":86,"attrs":7010},{"href":7011,"uuid":25,"anchor":25,"target":90,"linktype":147},"https:\u002F\u002Fwww.fielmann.de\u002Fratgeber\u002Faugengesundheit\u002Fmakuladegeneration\u002F#symptome",{"type":77,"content":7013},[7014],{"text":7015,"type":81,"marks":7016},"Diagnose der Makuladegeneration",[7017],{"type":86,"attrs":7018},{"href":7019,"uuid":25,"anchor":25,"target":90,"linktype":147},"https:\u002F\u002Fwww.fielmann.de\u002Fratgeber\u002Faugengesundheit\u002Fmakuladegeneration\u002F#diagnose",{"type":77,"content":7021},[7022],{"text":7023,"type":81,"marks":7024},"Makuladegeneration: Therapie und Behandlung",[7025],{"type":86,"attrs":7026},{"href":7027,"uuid":25,"anchor":25,"target":90,"linktype":147},"https:\u002F\u002Fwww.fielmann.de\u002Fratgeber\u002Faugengesundheit\u002Fmakuladegeneration\u002F#behandlung",{"type":77,"content":7029},[7030],{"text":7031,"type":81,"marks":7032},"Ist die altersabhängige Makuladegeneration bald heilbar?",[7033],{"type":86,"attrs":7034},{"href":7035,"uuid":25,"anchor":25,"target":90,"linktype":147},"https:\u002F\u002Fwww.fielmann.de\u002Fratgeber\u002Faugengesundheit\u002Fmakuladegeneration\u002F#heilbar",[],"Inhalte",[7039],{"id":46,"_uid":7040,"body":7041,"component":220,"no_margin":3,"margin_top":221},"a5acf983-628d-4f67-aecd-6b25c69a405b",{"type":74,"content":7042},[7043,7068,7078,7088,7098,7108,7118],{"type":77,"content":7044},[7045,7053,7060],{"text":7046,"type":81,"marks":7047},"Degenerazione",[7048,7051],{"type":86,"attrs":7049},{"href":7050,"uuid":25,"anchor":25,"target":90,"linktype":147},"https:\u002F\u002Fwww.fielmann.it\u002Fguida\u002Fsalute-degli-occhi\u002Fdegenerazione-maculare\u002F#was-ist",{"type":138,"attrs":7052},{"color":6944},{"text":7054,"type":81,"marks":7055}," maculare senile: cos'è?",[7056,7058],{"type":86,"attrs":7057},{"href":7050,"uuid":25,"anchor":25,"target":90,"linktype":147},{"type":138,"attrs":7059},{"color":46},{"text":7061,"type":81,"marks":7062}," ",[7063,7065],{"type":86,"attrs":7064},{"href":7050,"uuid":25,"anchor":25,"target":90,"linktype":147},{"type":138,"attrs":7066},{"color":7067},"rgb(0, 0, 0)",{"type":77,"content":7069},[7070],{"text":7071,"type":81,"marks":7072},"Le cause dell'AMD",[7073,7076],{"type":86,"attrs":7074},{"href":7075,"uuid":25,"anchor":25,"target":90,"linktype":147},"https:\u002F\u002Fwww.fielmann.it\u002Fguida\u002Fsalute-degli-occhi\u002Fdegenerazione-maculare\u002F#ursachen",{"type":138,"attrs":7077},{"color":7067},{"type":77,"content":7079},[7080],{"text":7081,"type":81,"marks":7082},"I diversi tipi di AMD",[7083,7086],{"type":86,"attrs":7084},{"href":7085,"uuid":25,"anchor":25,"target":90,"linktype":147},"https:\u002F\u002Fwww.fielmann.it\u002Fguida\u002Fsalute-degli-occhi\u002Fdegenerazione-maculare\u002F#arten",{"type":138,"attrs":7087},{"color":7067},{"type":77,"content":7089},[7090],{"text":7091,"type":81,"marks":7092},"Degenerazione maculare: i sintomi",[7093,7096],{"type":86,"attrs":7094},{"href":7095,"uuid":25,"anchor":25,"target":90,"linktype":147},"https:\u002F\u002Fwww.fielmann.it\u002Fguida\u002Fsalute-degli-occhi\u002Fdegenerazione-maculare\u002F#symptome",{"type":138,"attrs":7097},{"color":7067},{"type":77,"content":7099},[7100],{"text":7101,"type":81,"marks":7102},"La diagnosi della degenerazione maculare",[7103,7106],{"type":86,"attrs":7104},{"href":7105,"uuid":25,"anchor":25,"target":90,"linktype":147},"https:\u002F\u002Fwww.fielmann.it\u002Fguida\u002Fsalute-degli-occhi\u002Fdegenerazione-maculare\u002F#diagnose",{"type":138,"attrs":7107},{"color":7067},{"type":77,"content":7109},[7110],{"text":7111,"type":81,"marks":7112},"Degenerazione maculare: terapia e trattamento",[7113,7116],{"type":86,"attrs":7114},{"href":7115,"uuid":25,"anchor":25,"target":90,"linktype":147},"https:\u002F\u002Fwww.fielmann.it\u002Fguida\u002Fsalute-degli-occhi\u002Fdegenerazione-maculare\u002F#behandlung",{"type":138,"attrs":7117},{"color":7067},{"type":77,"content":7119},[7120],{"text":7121,"type":81,"marks":7122},"La degenerazione maculare senile è facilmente curabile?",[7123,7126],{"type":86,"attrs":7124},{"href":7125,"uuid":25,"anchor":25,"target":90,"linktype":147},"https:\u002F\u002Fwww.fielmann.it\u002Fguida\u002Fsalute-degli-occhi\u002Fdegenerazione-maculare\u002F#heilbar",{"type":138,"attrs":7127},{"color":7067},[],{"_uid":7130,"color":6972,"plugin":6973},"bcff8913-448b-4bfa-bcdf-9c2354a0ab93",[7132],{"tag":181,"_uid":7133,"look":181,"text":7134,"color":7135,"weight":187,"component":188},"bf8b5b78-3fe1-4130-9611-99b37f7dab66","Indice dei contenuti",{"color":46,"plugin":186},{"_uid":7137,"color":6972,"plugin":6973},"792c05a5-ccd7-4e71-ad0d-fb9239d99b96",{"id":7139,"_uid":7140,"body":7141,"images":7154,"headline":6983,"text_ref":7155,"component":6966,"sub_title":46,"margin_top":470,"cta_content":7182,"color_border":7183,"headline_ref":7185,"headline_tag":46,"in_container":3,"headline_look":181,"text_placement":46,"headline_weight":187,"color_background":7191,"margin_top_mobile":311,"margin_top_desktop":311},"was-ist","45b7eba0-b08d-4f04-ac08-abecbbe90560",{"type":74,"content":7142},[7143],{"type":77,"content":7144},[7145,7150],{"text":7146,"type":81,"marks":7147},"Bei der altersabhängigen Makuladegeneration, abgekürzt auch als AMD bezeichnet, handelt es sich um eine Erkrankung, von der meist beide Augen betroffen sind. Ausgelöst wird sie durch eine Kombination aus genetischen Prädispositionen, oxidativem Stress, Entzündungen und Lebensstilfaktoren. Besonders tückisch ist, dass die AMD genau die Stelle des schärfsten Sehens auf der Netzhautbetrifft. Zu Beginn verläuft die altersabhängige Makuladegeneration schleichend, oft ohne dass Beschwerden wahrgenommen werden. Erst im fortgeschrittenen Stadium werden die Sehstörungen deutlich spürbar.",[7148],{"type":138,"attrs":7149},{"color":46},{"text":7061,"type":81,"marks":7151},[7152],{"type":138,"attrs":7153},{"color":7067},[],[7156],{"id":46,"_uid":7157,"body":7158,"component":220,"no_margin":3,"margin_top":221},"0ad83096-2b69-436e-9781-a44f0031f07a",{"type":74,"content":7159},[7160],{"type":77,"content":7161},[7162,7167,7172,7177],{"text":7163,"type":81,"marks":7164},"La degenerazione maculare senile, nota anche come AMD, è una patologia che di norma colpisce entrambi ",[7165],{"type":138,"attrs":7166},{"color":46},{"text":7168,"type":81,"marks":7169},"gli",[7170],{"type":138,"attrs":7171},{"color":6944},{"text":7173,"type":81,"marks":7174}," occhi. È innescata da una combinazione di predisposizioni genetiche, stress ossidativo, infiammazione e fattori legati allo stile di vita. Ciò che rende l'AMD particolarmente insidiosa è che colpisce l'area della retina con la visione più nitida. All'inizio, la degenerazione maculare senile progredisce gradualmente, spesso senza che se ne notino i sintomi. Solo in fase avanzata i disturbi visivi diventano chiaramente percepibili.",[7175],{"type":138,"attrs":7176},{"color":46},{"text":7061,"type":81,"marks":7178},[7179],{"type":138,"attrs":7180},{"color":7181},"rgba(0, 0, 0, 0.847)",[],{"_uid":7184,"color":46,"plugin":66},"2bd8e5b7-9845-4cf0-af77-14c0997e7e9c",[7186],{"tag":181,"_uid":7187,"look":181,"text":7188,"color":7189,"weight":187,"component":188},"b33952c4-ac1a-44ba-a7c2-6200b22e5a6c","Degenerazione maculare senile: cos'è?",{"_uid":7190,"color":46,"plugin":66},"487255e0-6593-4a00-bd87-85072c05a0fc",{"_uid":7192,"color":46,"plugin":66},"5d8b06fa-54e8-486b-a91d-79a0ad5ae066",{"id":7194,"_uid":7195,"body":7196,"images":7210,"headline":6991,"text_ref":7211,"component":6966,"sub_title":46,"margin_top":470,"cta_content":7247,"color_border":7248,"headline_ref":7250,"headline_tag":46,"in_container":3,"headline_look":181,"text_placement":46,"headline_weight":187,"color_background":7255,"margin_top_mobile":311,"margin_top_desktop":311},"ursachen","d59b364b-ed36-4b22-8dd1-4d34ed6c6715",{"type":74,"content":7197},[7198,7202,7206],{"type":77,"content":7199},[7200],{"text":7201,"type":81},"Die zentrale Netzhaut ist besonders stoffwechselaktiv und benötigt kontinuierlich eine Vielzahl von Substanzen, die zugeführt und abgebaut werden müssen. Dabei entstehen Abfallstoffe, die sich in den Netzhautzellen einlagern. Im weiteren Verlauf bilden sich sogenannte Drusen, die sich unter den lichtempfindlichen Zellen, den Zapfen und Stäbchen, ablagern und deren Versorgung beeinträchtigen. Dies führt schließlich zum Absterben der Zapfen und Stäbchen in der zentralen Netzhaut. Diese Prozesse werden von verschiedenen Faktoren beeinflusst. ",{"type":77,"content":7203},[7204],{"text":7205,"type":81},"Die genetische Disposition spielt eine bedeutende Rolle und kann das Alter beeinflussen, in dem die Erkrankung beginnt. In den Netzhautzellen ist der oxidative Stress ein zentraler Faktor. Durch die Einwirkung von energiereichem blauem Licht in Kombination mit bestimmten Stoffwechselprodukten entstehen freie Radikale, die die Zellen schädigen. Zwar schützt sich die Netzhaut mit sogenannten Radikalfängern vor diesen Angriffen, doch deren Aktivität nimmt im Laufe des Lebens ab. Unser Lebensstil beeinflusst den ständigen Kampf gegen den oxidativen Stress erheblich. Rauchen beispielsweise erhöht die Anzahl freier Radikale, während eine gesunde Ernährung mit viel grünem Gemüse die Radikalfänger stärken kann. Bewegungsmangel und Übergewicht wirken sich ebenfalls negativ auf die Erkrankung aus. ",{"type":77,"content":7207},[7208],{"text":7209,"type":81},"Im Rahmen der gestörten Stoffwechselvorgänge entstehen zudem Entzündungsreaktionen in der Netzhaut, die zu einer langsamen Ausweitung des zerstörten Gewebes führen. ",[],[7212],{"id":46,"_uid":7213,"body":7214,"component":220,"no_margin":3,"margin_top":221},"5df52c54-eb64-4064-870e-ebf7702bf4cc",{"type":74,"content":7215},[7216,7223,7240],{"type":77,"content":7217},[7218],{"text":7219,"type":81,"marks":7220},"Essendo particolarmente attiva dal punto di vista metabolico, la retina centrale richiede continuamente un gran numero di sostanze che devono essere fornite e scomposte. Di conseguenza si generano prodotti di scarto che si depositano nelle cellule retiniche. Nell'ambito di questa patologia si formano i cosiddetti \"drusen\", che si depositano sotto le cellule fotosensibili, i coni e i bastoncelli compromettendone l'alimentazione. Questo porta alla morte dei coni e dei bastoncelli nella retina centrale. Questi processi sono influenzati da vari fattori. ",[7221],{"type":138,"attrs":7222},{"color":46},{"type":77,"content":7224},[7225,7230,7235],{"text":7226,"type":81,"marks":7227},"La predisposizione genetica ha un'importanza primaria e può influenzare l'età di esordio della malattia. Nelle cellule della retina, lo stress ossidativo è un fattore chiave. L'esposizione alla luce blu ad alta energia, in combinazione con alcuni prodotti metabolici, produce radicali liberi nocivi per le cellule. Sebbene la retina si protegga da questi attacchi con i cosiddetti\" scavenger\" di radicali liberi, la loro attività diminuisce nel corso della vita. Il nostro stile di vita ha un'influenza significativa sulla lotta costante contro lo stress ossidativo. Il fumo, ad esempio, aumenta il numero di radicali liberi, mentre una dieta sana ricca di verdure verdi può rafforzare gli \"scavenger\". Anche la mancanza di esercizio fisico e il sovrappeso hanno un effetto negativo sulla ",[7228],{"type":138,"attrs":7229},{"color":46},{"text":7231,"type":81,"marks":7232},"malattia",[7233],{"type":138,"attrs":7234},{"color":6944},{"text":7236,"type":81,"marks":7237},". ",[7238],{"type":138,"attrs":7239},{"color":46},{"type":77,"content":7241},[7242],{"text":7243,"type":81,"marks":7244},"Nell'ambito di processi metabolici disturbati si verificano anche reazioni infiammatorie nella retina, che portano a una lenta espansione del tessuto danneggiato. ",[7245],{"type":138,"attrs":7246},{"color":46},[],{"_uid":7249,"color":46,"plugin":66},"f3bb32e9-8706-447e-b850-da0e3ecaaa65",[7251],{"tag":181,"_uid":7252,"look":181,"text":7071,"color":7253,"weight":187,"component":188},"364064e9-d93e-4e6a-8d5b-c958f4158740",{"_uid":7254,"color":46,"plugin":66},"610e8eba-972b-4c5c-aca3-457f189b2ad0",{"_uid":7256,"color":46,"plugin":66},"ed445a82-9d8a-4688-a2ec-7dbfd5106c54",{"id":7258,"_uid":7259,"body":7260,"images":7284,"headline":6999,"text_ref":7285,"component":6966,"sub_title":46,"margin_top":470,"cta_content":7360,"color_border":7361,"headline_ref":7363,"headline_tag":46,"in_container":3,"headline_look":181,"text_placement":46,"headline_weight":187,"color_background":7368,"margin_top_mobile":311,"margin_top_desktop":311},"arten","43620008-ec5a-4eaf-8412-46b2e79b8872",{"type":74,"content":7261},[7262,7266,7271,7275,7280],{"type":77,"content":7263},[7264],{"text":7265,"type":81},"Es gibt verschiedene Arten der altersabhängigen Makuladegeneration. Während die trockene Makuladegeneration einen eher langsamen Verlauf nimmt und bisher schlecht behandelbar ist, geht die feuchte Makuladegeneration unbehandelt deutlich schneller mit Sehbehinderungen einher, ist allerdings gut behandelbar. ",{"type":318,"attrs":7267,"content":7268},{"level":462},[7269],{"text":7270,"type":81},"Trockene AMD",{"type":77,"content":7272},[7273],{"text":7274,"type":81},"Die trockene AMD verläuft schleichend, sodass die Beschwerden oft erst allmählich bemerkt werden. 85 Prozent der Patienten sind von einer trockenen Makuladegeneration betroffen. Während des Krankheitsverlaufs sterben immer mehr Bereiche der zentralen Netzhaut ab, was zu Gesichtsfeldausfällen in der Mitte des Gesichtsfeldes führt. Über Jahre hinweg verschlechtert sich das Sehen. Spätestens wenn Zeitungsschrift nicht mehr erkennbar ist, können vergrößernde Sehhilfen, wie Lupen, den Alltag betroffener erleichtern. Auch wenn die Sehschärfe im fortgeschrittenen Stadium unter fünf Prozent liegen kann, führt die AMD nicht zur kompletten Erblindung. Der äußere Bereich des Gesichtsfeldes ist nicht betroffen und bleibt erhalten, so dass zumindest eine Orientierung in bekannter Umgebung möglich ist. Bisher gibt es für die trockene Makuladegeneration noch keine wirksame Behandlung. Es laufen jedoch aktuell Studien zu neuen Medikamenten. ",{"type":318,"attrs":7276,"content":7277},{"level":462},[7278],{"text":7279,"type":81},"Feuchte AMD",{"type":77,"content":7281},[7282],{"text":7283,"type":81},"Eine trockene AMD kann jederzeit in eine feuchte Form übergehen. Unbehandelt schreitet sie deutlich schneller voran und führt im Verlauf der Erkrankung rasch zu starkem Sehverlust. Nur rund 10 bis 15 Prozent aller Patienten mit Makuladegeneration sind von der feuchten AMD betroffen. Dabei wachsen neue, aber poröse Blutgefäße aus der Aderhaut unter und in die Netzhaut, sodass es zu Blutungen und Schwellungen kommt. In diesen Bereichen vernarbt die Netzhaut, was zu unwiederbringlichen Sehverschlechterungen führt. Mittlerweile gibt es sehr wirksame Behandlungsmethoden, um die Sehleistung wieder zu stabilisieren und den Verlauf signifikant zu verlangsamen. Wichtig ist jedoch, sofort bei Beginn der feuchten Form einzugreifen. ",[],[7286],{"id":46,"_uid":7287,"body":7288,"component":220,"no_margin":3,"margin_top":221},"9dadb706-b2f2-4672-b950-0ffa1d43da4b",{"type":74,"content":7289},[7290,7302,7310,7331,7339],{"type":77,"content":7291},[7292,7297],{"text":7293,"type":81,"marks":7294},"Esistono",[7295],{"type":138,"attrs":7296},{"color":6944},{"text":7298,"type":81,"marks":7299}," diversi tipi di degenerazione maculare senile. Mentre la degenerazione maculare secca tende a progredire lentamente ed è attualmente difficile da trattare, la degenerazione maculare umida comporta una riduzione della vista molto più rapida se non trattata, ma è facilmente curabile. ",[7300],{"type":138,"attrs":7301},{"color":46},{"type":318,"attrs":7303,"content":7304},{"level":462},[7305],{"text":7306,"type":81,"marks":7307},"AMD secca",[7308],{"type":138,"attrs":7309},{"color":7067},{"type":77,"content":7311},[7312,7317,7322,7327],{"text":7313,"type":81,"marks":7314},"L'AMD secca progredisce lentamente, per cui spesso i sintomi si notano gradualmente. L'85% dei pazienti è affetto da degenerazione maculare secca. Con il progredire della malattia, sempre più aree ",[7315],{"type":138,"attrs":7316},{"color":46},{"text":7318,"type":81,"marks":7319},"della",[7320],{"type":138,"attrs":7321},{"color":6944},{"text":7323,"type":81,"marks":7324}," retina centrale muoiono, causando la perdita del campo visivo al centro del campo visivo. Nel corso degli anni, la visione si deteriora. Successivamente, quando si fa fatica a leggere i giornali, ausili visivi come le lenti d'ingrandimento possono facilitare la vita quotidiana delle persone colpite. Anche se l'acuità visiva, in fase avanzata, può essere inferiore al 5%, l'AMD non porta alla cecità completa. L'area esterna del campo visivo non è interessata e rimane intatta, in modo da consentire almeno l'orientamento negli ambienti conosciuti. Ad oggi non esiste un trattamento efficace per la degenerazione maculare secca, ma sono in corso studi su nuovi farmaci.",[7325],{"type":138,"attrs":7326},{"color":46},{"text":7061,"type":81,"marks":7328},[7329],{"type":138,"attrs":7330},{"color":7181},{"type":318,"attrs":7332,"content":7333},{"level":462},[7334],{"text":7335,"type":81,"marks":7336},"AMD umida",[7337],{"type":138,"attrs":7338},{"color":7067},{"type":77,"content":7340},[7341,7346,7351,7356],{"text":7342,"type":81,"marks":7343},"L'AMD secca può trasformarsi in forma umida in qualsiasi momento. Se non trattata, progredisce molto più rapidamente e porta rapidamente a una grave perdita della vista. Solo il 10-15% circa dei ",[7344],{"type":138,"attrs":7345},{"color":46},{"text":7347,"type":81,"marks":7348},"pazienti",[7349],{"type":138,"attrs":7350},{"color":6944},{"text":7352,"type":81,"marks":7353}," affetti da degenerazione maculare è affetto da AMD umida. In questo caso, nuovi vasi sanguigni porosi si sviluppano dalla coroide sotto e dentro la retina, causando emorragie e gonfiori. In questi punti la retina si lacera, portando a un peggioramento irreversibile della vista. Oggi sono disponibili metodi di trattamento molto efficaci per stabilizzare le prestazioni visive e rallentare in modo significativo la progressione della malattia, ma è importante intervenire subito all'insorgere della forma umida.",[7354],{"type":138,"attrs":7355},{"color":46},{"text":7061,"type":81,"marks":7357},[7358],{"type":138,"attrs":7359},{"color":7181},[],{"_uid":7362,"color":46,"plugin":66},"d4bdbb9f-24ca-4efd-aee1-7d5b4796c402",[7364],{"tag":181,"_uid":7365,"look":181,"text":7081,"color":7366,"weight":187,"component":188},"d0be8227-832b-4e03-9c8b-e1e6f9afd24a",{"_uid":7367,"color":46,"plugin":66},"b049b2f1-a94f-489f-bd5c-0990c0a1cca9",{"_uid":7369,"color":46,"plugin":66},"ff8b0618-4f49-47b4-9bbd-52e9cd3b938d",{"id":7371,"_uid":7372,"body":7373,"images":7428,"headline":7007,"text_ref":7429,"component":6966,"sub_title":46,"margin_top":470,"cta_content":7598,"color_border":7599,"headline_ref":7601,"headline_tag":46,"in_container":3,"headline_look":181,"text_placement":46,"headline_weight":187,"color_background":7606,"margin_top_mobile":311,"margin_top_desktop":311},"symptome","d578019e-404f-42fd-8c5b-7a83e622dacb",{"type":74,"content":7374},[7375,7379,7384,7388,7393,7397,7402,7406,7410,7415,7419,7424],{"type":77,"content":7376},[7377],{"text":7378,"type":81},"Die altersabhängige Makuladegeneration führt im Laufe der Zeit dazu, dass die Sehfähigkeit nachlässt. Im Zentrum der Netzhaut befindet sich die sogenannte Macula lutea (gelber Fleck). In deren Mitte liegt die nur einen Quadratmillimeter große Netzhautgrube (Fovea centralis), mit der wir maximal scharf sehen können. Die AMD betrifft ausschließlich die Netzhautmitte, also die Makula mit der Netzhautgrube. Da wir stets mit der Netzhautgrube die Objekte fixieren, die wir genau sehen wollen, ist die Erkrankung im Alltag sehr belastend.  ",{"type":318,"attrs":7380,"content":7381},{"level":462},[7382],{"text":7383,"type":81},"Verschwommenes Sehen bei gezieltem Blick",{"type":77,"content":7385},[7386],{"text":7387,"type":81},"Eine Störung im Bereich des schärfsten Sehens, der Makula, führt dazu, dass vor allem Gegenstände und Personen, die gezielt anvisiert werden, nur noch verschwommen und evtl. verzerrt wahrgenommen werden können. So entstehen beispielsweise Probleme beim Lesen oder beim Erkennen und Deuten von Gesichtern. Bei einer fortgeschrittenen AMD können die Gegenstände oder Personen oft gar nicht mehr erkannt werden. Alltägliche Dinge wie Einkaufen oder Autofahren werden unmöglich. Genau da, wo man hinsehen möchte, ist nur ein dunkler Fleck zu sehen.",{"type":318,"attrs":7389,"content":7390},{"level":462},[7391],{"text":7392,"type":81},"Gegenstände am Rande des Sehfelds schlecht sichtbar",{"type":77,"content":7394},[7395],{"text":7396,"type":81},"Die Gegenstände am Rande des Sehfelds bleiben bei einer Makuladegeneration weiterhin sichtbar. Da in diesem Bereich die Sehschärfe unserer Augen jedoch sehr schlecht ist, tun sich betroffene schwer, damit Dinge zu erkennen.  Lesen ist nur mit vergrößernden Sehhilfen oder elektronischen Hilfsmitteln möglich und muss wieder neu geübt werden. ",{"type":318,"attrs":7398,"content":7399},{"level":462},[7400],{"text":7401,"type":81},"Erhöhter Lichtbedarf und verstärkte Blendempfindlichkeit",{"type":77,"content":7403},[7404],{"text":7405,"type":81},"Ältere Menschen haben aufgrund nachlassender Leistungsfähigkeit beim Sehen ohnehin einen erhöhten Lichtbedarf. Das gilt umso mehr unter den Bedingungen einer AMD. Betroffene brauchen daher für anspruchsvolle Sehaufgaben zusätzliche Beleuchtung.  ",{"type":77,"content":7407},[7408],{"text":7409,"type":81},"Im Alter kommt es aber auch zu vermehrten Trübungen der sonst transparenten Augenmedien, wie z.B. der Augenlinse. Dies führt zu vermehrtem Streulicht auf der Netzhaut und erhöhter Blendempfindlichkeit. So ist zwar zum einen eine gute Beleuchtung wichtig, andererseits muss die Lichtquelle so abgeschirmt sein, dass sie nicht direkt blendet.",{"type":318,"attrs":7411,"content":7412},{"level":462},[7413],{"text":7414,"type":81},"Verringertes Kontrastsehvermögen",{"type":77,"content":7416},[7417],{"text":7418,"type":81},"Kontraste erscheinen weniger klar und Umrisse können nur schwer abgegrenzt werden. Auch Farben wirken blasser und verwaschen. Besonders bei schlechten Lichtverhältnissen kann das zu Unsicherheit und Sturzgefahr führen. Auch fällt die Anpassung an veränderte Lichtverhältnisse schwer, z.B. beim Wechsel vom strahlenden Sonnenschein in einen dunklen Raum. ",{"type":318,"attrs":7420,"content":7421},{"level":462},[7422],{"text":7423,"type":81},"Verzerrtes Sehen (Metamorphopsien)",{"type":77,"content":7425},[7426],{"text":7427,"type":81},"Typisch bei beginnender feuchter AMD ist es, dass gerade Linien wellig oder verzerrt aussehen. Gut zu erkennen ist das an regelmäßigen Mustern wie Fugen zwischen Fliesen oder Linien auf kariertem Papier.  ",[],[7430],{"id":46,"_uid":7431,"body":7432,"component":220,"no_margin":3,"margin_top":221},"fb44f068-5c53-466b-bfd7-ff7cba75a08d",{"type":74,"content":7433},[7434,7454,7462,7483,7491,7508,7516,7533,7540,7548,7569,7577],{"type":77,"content":7435},[7436,7441,7446,7450],{"text":7437,"type":81,"marks":7438},"La degenerazione maculare senile comporta una perdita della vista nel tempo. In mezzo alla retina si trova la cosiddetta macula lutea (macchia gialla). Al centro di questa si trova la fossa retinica (fovea centralis), ampia appena un millimetro quadrato, che ci permette di vedere con la massima chiarezza. L'AMD colpisce solo il centro della retina, ossia la macula con la fossa retinica. Dal momento che utilizziamo sempre la fossa retinica per fissare con precisione gli oggetti che vogliamo vedere, questa patologia è molto stressante nella vita ",[7439],{"type":138,"attrs":7440},{"color":46},{"text":7442,"type":81,"marks":7443},"quotidiana",[7444],{"type":138,"attrs":7445},{"color":6944},{"text":7236,"type":81,"marks":7447},[7448],{"type":138,"attrs":7449},{"color":46},{"text":7061,"type":81,"marks":7451},[7452],{"type":138,"attrs":7453},{"color":7181},{"type":318,"attrs":7455,"content":7456},{"level":462},[7457],{"text":7458,"type":81,"marks":7459},"Visione offuscata quando si focalizza lo sguardo",[7460],{"type":138,"attrs":7461},{"color":7067},{"type":77,"content":7463},[7464,7469,7474,7479],{"text":7465,"type":81,"marks":7466},"Un disturbo nell'area della visione più nitida, la macula, fa sì che gli oggetti e le persone su cui ",[7467],{"type":138,"attrs":7468},{"color":46},{"text":7470,"type":81,"marks":7471},"focalizziamo",[7472],{"type":138,"attrs":7473},{"color":6944},{"text":7475,"type":81,"marks":7476}," lo sguardo vengano percepiti in modo sfocato e talvolta distorto. Ciò può causare problemi, ad esempio, nella lettura o nel riconoscimento e nell'interpretazione dei volti. Quando l'AMD è in stadio avanzato, spesso gli oggetti o le persone non sono più riconoscibili. Attività quotidiane come fare la spesa o guidare diventano impossibili. Proprio il punto su cui ci si focalizza appare come una macchia scura. ",[7477],{"type":138,"attrs":7478},{"color":46},{"text":7061,"type":81,"marks":7480},[7481],{"type":138,"attrs":7482},{"color":7181},{"type":318,"attrs":7484,"content":7485},{"level":462},[7486],{"text":7487,"type":81,"marks":7488},"Oggetti ai margini del campo visivo poco visibili",[7489],{"type":138,"attrs":7490},{"color":7067},{"type":77,"content":7492},[7493,7498,7503],{"text":7494,"type":81,"marks":7495},"Nella degenerazione maculare, gli oggetti ai margini del campo visivo rimangono visibili. Tuttavia, dal ",[7496],{"type":138,"attrs":7497},{"color":46},{"text":7499,"type":81,"marks":7500},"momento",[7501],{"type":138,"attrs":7502},{"color":6944},{"text":7504,"type":81,"marks":7505}," che in queste aree l'acuità visiva degli occhi è molto limitata, le persone colpite hanno difficoltà a identificare gli oggetti. La lettura è possibile solo con ausili visivi ingrandenti o elettronici ed è necessario prendervi nuovamente confidenza.",[7506],{"type":138,"attrs":7507},{"color":46},{"type":318,"attrs":7509,"content":7510},{"level":462},[7511],{"text":7512,"type":81,"marks":7513},"Maggiore fabbisogno di luce e maggiore sensibilità all'abbagliamento",[7514],{"type":138,"attrs":7515},{"color":7067},{"type":77,"content":7517},[7518,7523,7528],{"text":7519,"type":81,"marks":7520},"Le ",[7521],{"type":138,"attrs":7522},{"color":46},{"text":7524,"type":81,"marks":7525},"persone",[7526],{"type":138,"attrs":7527},{"color":6944},{"text":7529,"type":81,"marks":7530}," anziane, a prescindere da eventuali patologie, hanno un maggiore bisogno di luce a causa del declino della visione. Ciò vale a maggior ragione per le persone colpite da AMD, che hanno bisogno di un'illuminazione supplementare per svolgere operazioni visivamente impegnative.  ",[7531],{"type":138,"attrs":7532},{"color":46},{"type":77,"content":7534},[7535],{"text":7536,"type":81,"marks":7537},"Con l'età, tuttavia, si verifica anche un intorbidimento delle parti dell'occhio normalmente trasparenti, come il cristallino. Ciò comporta un aumento della luce diffusa sulla retina e una maggiore sensibilità all'abbagliamento. Pertanto, sebbene una buona illuminazione sia importante, la sorgente luminosa deve essere schermata in modo da non provocare un abbagliamento diretto.  ",[7538],{"type":138,"attrs":7539},{"color":46},{"type":318,"attrs":7541,"content":7542},{"level":462},[7543],{"text":7544,"type":81,"marks":7545},"Visione a contrasto ridotto",[7546],{"type":138,"attrs":7547},{"color":7067},{"type":77,"content":7549},[7550,7555,7560,7565],{"text":7551,"type":81,"marks":7552},"I contrasti appaiono meno netti e i contorni sono difficili da delineare. Anche i colori appaiono più ",[7553],{"type":138,"attrs":7554},{"color":46},{"text":7556,"type":81,"marks":7557},"pallidi",[7558],{"type":138,"attrs":7559},{"color":6944},{"text":7561,"type":81,"marks":7562}," e sbiaditi. Ciò può generare insicurezza e rischio di cadute, soprattutto in condizioni di scarsa illuminazione. Inoltre, rende difficile adattarsi ai cambiamenti delle condizioni di luce, ad esempio quando si passa da una stanza illuminata dal sole a una buia.",[7563],{"type":138,"attrs":7564},{"color":46},{"text":7061,"type":81,"marks":7566},[7567],{"type":138,"attrs":7568},{"color":7181},{"type":318,"attrs":7570,"content":7571},{"level":462},[7572],{"text":7573,"type":81,"marks":7574},"Visione distorta (metamorfopsia)",[7575],{"type":138,"attrs":7576},{"color":7067},{"type":77,"content":7578},[7579,7584,7589,7594],{"text":7580,"type":81,"marks":7581},"È tipico dell'insorgenza della AMD umida che le linee rette appaiano ondulate o distorte. Questo ",[7582],{"type":138,"attrs":7583},{"color":46},{"text":7585,"type":81,"marks":7586},"fenomeno",[7587],{"type":138,"attrs":7588},{"color":6944},{"text":7590,"type":81,"marks":7591}," è facilmente riscontrabile osservando superfici con schemi regolari come le fughe tra le piastrelle o le linee su carta a quadretti. ",[7592],{"type":138,"attrs":7593},{"color":46},{"text":7061,"type":81,"marks":7595},[7596],{"type":138,"attrs":7597},{"color":7181},[],{"_uid":7600,"color":46,"plugin":66},"3b33c1e1-1ef4-4802-8eb6-d36e2e703326",[7602],{"tag":181,"_uid":7603,"look":181,"text":7091,"color":7604,"weight":187,"component":188},"96e1c0f0-23fa-4797-9980-31c6593e75f8",{"_uid":7605,"color":46,"plugin":66},"664fd3e5-cab9-49f8-976f-84bd6e272492",{"_uid":7607,"color":46,"plugin":66},"27541c6a-d46a-461c-8e26-b4ee84df615a",{"id":7609,"_uid":7610,"body":7611,"images":7710,"headline":7015,"text_ref":7711,"component":6966,"sub_title":46,"margin_top":470,"cta_content":7758,"color_border":7759,"headline_ref":7761,"headline_tag":46,"in_container":3,"headline_look":181,"text_placement":46,"headline_weight":187,"color_background":7766,"margin_top_mobile":311,"margin_top_desktop":311},"diagnose","7be510d8-c2b3-457e-9e37-386655bba20e",{"type":74,"content":7612},[7613,7620,7638,7645,7652,7659],{"type":77,"content":7614},[7615],{"text":7616,"type":81,"marks":7617},"Die Diagnose der Makuladegeneration ist nur im Rahmen einer augenärztlichen Untersuchung möglich. Dabei werden zunächst die Symptome und augenunabhängige Grunderkrankungen abgefragt, um ein möglichst klares Bild vom allgemeinen Gesundheitszustand zu erhalten.  ",[7618],{"type":138,"attrs":7619},{"color":46},{"type":77,"content":7621},[7622,7627,7633],{"text":7623,"type":81,"marks":7624},"Im Rahmen verschiedener Sehtests wird die Sehleistung erfasst. Im Anschluss erfolgt eine gründliche Untersuchung der Augen, wobei von vorne nach hinten alle Bereiche untersucht werden. Dazu nutzt der Augenarzt eine Spaltlampe, eine Art ",[7625],{"type":138,"attrs":7626},{"color":46},{"text":211,"type":81,"marks":7628},[7629,7631],{"type":7630},"strike",{"type":138,"attrs":7632},{"color":46},{"text":7634,"type":81,"marks":7635},"Mikroskop mit spezieller Beleuchtung.  ",[7636],{"type":138,"attrs":7637},{"color":46},{"type":77,"content":7639},[7640],{"text":7641,"type":81,"marks":7642},"Zur gründlichen Inspektion des Augenhintergrundes kann die Pupille erweitert werden, was durch das Eingeben von Augentropfen gelingt.  ",[7643],{"type":138,"attrs":7644},{"color":46},{"type":77,"content":7646},[7647],{"text":7648,"type":81,"marks":7649},"Moderne Untersuchungstechnik erleichtert die Diagnostik der AMD erheblich. Insbesondere die optische Kohärenztomografie (OCT) ist heute unverzichtbar. Mit dieser nur wenige Minuten dauernden Untersuchung können auf optischem Wege mithilfe einer Art Laserlicht ohne direkten Kontakt zum Auge Schnittbilder erzeugt werden, die in mikroskopischer Auflösung die Zellschichten der Netzhaut zeigen. Drusen, Flüssigkeitseinlagerungen oder Vernarbungen lassen sich gut erkennen. Damit ist eine genaue Einteilung in das Stadium und die Form der Erkrankung möglich. Auch für die Verlaufskontrolle und Therapieplanung ist die OCT-Untersuchung unentbehrlich. Zunehmend wird diese Untersuchung durch eine spezielle OCT-Angiographie ergänzt, zu der kein Farbstoff eingespritzt werden muss. Damit lassen sich neu gewachsene Gefäße darstellen. ",[7650],{"type":138,"attrs":7651},{"color":46},{"type":77,"content":7653},[7654],{"text":7655,"type":81,"marks":7656},"Steht eine mögliche feuchte AMD im Raum, so kann mithilfe einer sogenannten Fluoreszenz-Angiografie der Netzhaut der Zustand der Gefäße im Auge beurteilt werden. Dazu spritzt der Augenarzt eine unschädliche Farbstofflösung in die Armvene, die sich im Anschluss auch in den Gefäßen der Netzhaut verteilt. Mithilfe einer Kamera können so eventuelle Gefäßveränderungen am Auge sichtbar gemacht und eingeschätzt werden.",[7657],{"type":138,"attrs":7658},{"color":46},{"type":77,"content":7660},[7661,7666,7677,7682,7705],{"text":7662,"type":81,"marks":7663},"Für die frühzeitige Erkennung der altersabhängigen Makuladegeneration sind Kontrolluntersuchungen beim Augenarzt unerlässlich. Zusätzlich kannst du unseren ",[7664],{"type":138,"attrs":7665},{"color":46},{"text":7667,"type":81,"marks":7668},"Augen-Check-Up",[7669,7674,7676],{"type":86,"attrs":7670},{"href":7671,"uuid":7672,"anchor":25,"target":90,"linktype":91,"original_href":7673},"\u002Faugen-check-up\u002F","7732cfd9-a3f2-4f10-9395-622bd984ec52","\u002Faugen-check-up",{"type":138,"attrs":7675},{"color":46},{"type":959},{"text":7678,"type":81,"marks":7679}," nutzen, bei dem wir ein professionelles Augenscreening durchführen und die Ergebnisse durch einen Augenarzt auswerten lassen, damit du frühzeitig von möglichen Veränderungen der Augengesundheit erfährst. Das Augen-Screening ist in allen ",[7680],{"type":138,"attrs":7681},{"color":46},{"text":7683,"type":81,"marks":7684},"Fielmann-Niederlassungen",[7685,7702,7704],{"type":86,"attrs":7686},{"href":334,"uuid":333,"anchor":25,"target":90,"linktype":91,"story":7687,"original_href":341},{"id":336,"uuid":333,"slug":337,"full_slug":334,"path":338,"parent_id":95,"name":339,"is_folder":3,"published":4,"is_startpage":3,"position":340,"real_path":341,"alternates":7688,"_stopResolving":4},[7689,7690,7691,7692,7693,7694,7695,7696,7697,7698,7699,7700,7701],{"path":344,"name":25,"lang":102,"published":25},{"path":344,"name":25,"lang":104,"published":25},{"path":344,"name":25,"lang":106,"published":25},{"path":344,"name":25,"lang":108,"published":25},{"path":344,"name":25,"lang":110,"published":25},{"path":344,"name":25,"lang":112,"published":25},{"path":351,"name":25,"lang":115,"published":4},{"path":344,"name":25,"lang":117,"published":25},{"path":344,"name":25,"lang":119,"published":25},{"path":344,"name":25,"lang":121,"published":25},{"path":344,"name":25,"lang":123,"published":25},{"path":344,"name":25,"lang":125,"published":25},{"path":344,"name":25,"lang":127,"published":25},{"type":138,"attrs":7703},{"color":46},{"type":959},{"text":7706,"type":81,"marks":7707}," möglich und dauert nur rund 30 Minuten. Es wird aber nur durchgeführt, wenn Du nicht in augenärztlicher Behandlung bist. ",[7708],{"type":138,"attrs":7709},{"color":46},[],[7712],{"id":46,"_uid":7713,"body":7714,"component":220,"no_margin":3,"margin_top":221},"90b918b8-0f42-419d-aa31-a88c7cc3e580",{"type":74,"content":7715},[7716,7723,7730,7737,7744,7751],{"type":77,"content":7717},[7718],{"text":7719,"type":81,"marks":7720},"La degenerazione maculare può essere diagnosticata solo nell'ambito di una visita oftalmologica. Per ottenere un quadro il più chiaro possibile dello stato di salute generale, vengono innanzitutto esaminati i sintomi e le malattie sottostanti non correlate all'occhio.  ",[7721],{"type":138,"attrs":7722},{"color":46},{"type":77,"content":7724},[7725],{"text":7726,"type":81,"marks":7727},"Nell'ambito di vari controlli della vista si valutano le prestazioni visive. Segue un esame approfondito degli occhi, in cui vengono esaminate tutte le aree dalla parte anteriore a quella posteriore. A tal fine, l'oculista utilizza una lampada a fessura, un tipo di microscopio dotato di un'illuminazione speciale.  ",[7728],{"type":138,"attrs":7729},{"color":46},{"type":77,"content":7731},[7732],{"text":7733,"type":81,"marks":7734},"Per un'ispezione approfondita della parte posteriore dell'occhio può essere necessario somministrare un collirio, il che può causare la dilatazione della pupilla.  ",[7735],{"type":138,"attrs":7736},{"color":46},{"type":77,"content":7738},[7739],{"text":7740,"type":81,"marks":7741},"Le moderne tecnologie di esame facilitano notevolmente la diagnosi dell'AMD. In particolare, la tomografia a coerenza ottica (OCT) è ormai indispensabile. Questo esame, che richiede solo pochi minuti, utilizza una sorta di luce laser per produrre - senza contatto diretto con l'occhio - immagini sezionali che rivelano gli strati cellulari della retina con una risoluzione microscopica, consentendo di individuare facilmente i cosiddetti \"drusen\", depositi di fluidi o cicatrici. Ciò consente di classificare con precisione lo stadio e la forma della patologia. L'esame OCT è inoltre indispensabile per monitorare i progressi e pianificare il trattamento. Questo esame viene sempre più spesso integrato da una speciale angiografia OCT, che non richiede l'iniezione di mezzo di contrasto. In questo modo è possibile visualizzare i vasi di nuova formazione. ",[7742],{"type":138,"attrs":7743},{"color":46},{"type":77,"content":7745},[7746],{"text":7747,"type":81,"marks":7748},"Se sussiste la possibilità che si tratti di AMD umida, la condizione dei vasi sanguigni dell'occhio può essere valutata con una fluorangiografia retinica. A tale scopo, l'oculista inietta nella vena del braccio una soluzione colorante innocua, che si distribuisce poi nei vasi della retina. Con l'ausilio di una telecamera è possibile visualizzare e valutare eventuali alterazioni vascolari dell'occhio.  ",[7749],{"type":138,"attrs":7750},{"color":46},{"type":77,"content":7752},[7753],{"text":7754,"type":81,"marks":7755},"Per una diagnosi precoce della degenerazione maculare senile, visite di controllo dall'oculista sono indispensabili. ",[7756],{"type":138,"attrs":7757},{"color":46},[],{"_uid":7760,"color":46,"plugin":66},"f3752ab4-0b08-4fb8-ad21-6e59663b6754",[7762],{"tag":181,"_uid":7763,"look":181,"text":7101,"color":7764,"weight":187,"component":188},"22eba51a-4bc7-43a4-8766-bb5bbb6fd4f5",{"_uid":7765,"color":46,"plugin":66},"c7f777df-8495-4405-a4e8-01b304859bb0",{"_uid":7767,"color":46,"plugin":66},"8a1c5779-ab9f-4b82-825b-6814de3a0cf3",{"id":7769,"_uid":7770,"body":7771,"images":7862,"headline":7023,"text_ref":7863,"component":6966,"sub_title":46,"margin_top":470,"cta_content":8033,"color_border":8034,"headline_ref":8036,"headline_tag":46,"in_container":3,"headline_look":181,"text_placement":46,"headline_weight":187,"color_background":8041,"margin_top_mobile":311,"margin_top_desktop":311},"behandlung","96e81ec4-b466-42a8-a8ea-9cdf35899e61",{"type":74,"content":7772},[7773,7777,7781,7785,7797,7801,7806,7810,7815,7853,7858],{"type":77,"content":7774},[7775],{"text":7776,"type":81},"Für die trockene Makuladegeneration gibt es bisher keine Behandlungsmöglichkeiten, was sich eventuell bald ändern könnte. Hier steht eine gesunde, ausgewogene Ernährung im Mittelpunkt, um die Augen zu schützen. Zusätzlich sollten Risikofaktoren minimiert werden – dazu gehört der Verzicht aufs Rauchen und ein Sonnenschutz mit UV-und Blaulichtfilter für die Augen.  ",{"type":77,"content":7778},[7779],{"text":7780,"type":81},"Wichtig ist die tägliche Selbstkontrolle mit einem Amsler Netz. Ein kariertes Blatt mit einem Punkt in der Mitte sollte jeden Tag mit beiden Augen getrennt angeblickt werden. Erscheinen die Linien gewellt oder verzerrt, kann das ein Hinweis auf eine beginnende feuchte AMD sein. Es ist umgehend ein Termin beim Augenarzt erforderlich.  ",{"type":77,"content":7782},[7783],{"text":7784,"type":81},"Anders sieht es dagegen bei der feuchten Makuladegeneration aus, deren Verlauf mit verschiedenen Therapiemöglichkeiten zumindest deutlich verlangsamt werden kann. ",{"type":318,"attrs":7786,"content":7787},{"level":462},[7788,7793],{"text":7789,"type":81,"marks":7790},"Medikamente",[7791],{"type":138,"attrs":7792},{"color":46},{"text":7061,"type":81,"marks":7794},[7795],{"type":138,"attrs":7796},{"color":7067},{"type":77,"content":7798},[7799],{"text":7800,"type":81},"Medikamente sind zur Behandlung der feuchten Makuladegeneration das Mittel der Wahl. Eingesetzt werden dafür sogenannte VEGF-Hemmer, die direkt ins Auge gespritzt werden, um hier die Neubildung von Blutgefäßen zu hemmen. Diese medikamentöse Behandlung kann die altersabhängige Makuladegeneration zwar nicht heilen, aber durchaus das Fortschreiten aufhalten oder den Verlauf verlangsamen. Durch die Behandlung werden Flüssigkeitseinlagerungen in der Netzhaut abgebaut und die Sehschärfe kann sich oft unter der Behandlung wieder verbessern. ",{"type":318,"attrs":7802,"content":7803},{"level":462},[7804],{"text":7805,"type":81},"Operation",{"type":77,"content":7807},[7808],{"text":7809,"type":81},"Sofern andere Behandlungsmethoden keinen Erfolg zeigen, kann in seltenen Fällen auch eine Operation in Frage kommen, bei der unter der Netzhaut entstehende feine Gewebehäutchen chirurgisch entfernt werden. ",{"type":318,"attrs":7811,"content":7812},{"level":5627},[7813],{"text":7814,"type":81},"Versorgung mit vergrößernden Sehhilfen",{"type":77,"content":7816},[7817,7822,7844,7849],{"text":7818,"type":81,"marks":7819},"In allen Phasen der Erkrankung gibt es die Möglichkeit, durch optisch oder elektronisch vergrößernde Sehhilfen den Alltag der Betroffenen deutlich zu erleichtern. Das beginnt oft zunächst mit verstärkten ",[7820],{"type":138,"attrs":7821},{"color":46},{"text":847,"type":81,"marks":7823},[7824,7841,7843],{"type":86,"attrs":7825},{"href":842,"uuid":841,"anchor":25,"target":90,"linktype":91,"story":7826,"original_href":849},{"id":844,"uuid":841,"slug":845,"full_slug":846,"path":46,"parent_id":714,"name":847,"is_folder":3,"published":4,"is_startpage":3,"position":848,"real_path":849,"alternates":7827,"_stopResolving":4},[7828,7829,7830,7831,7832,7833,7834,7835,7836,7837,7838,7839,7840],{"path":852,"name":25,"lang":102,"published":25},{"path":852,"name":25,"lang":104,"published":25},{"path":852,"name":25,"lang":106,"published":25},{"path":852,"name":25,"lang":108,"published":25},{"path":852,"name":25,"lang":110,"published":25},{"path":852,"name":25,"lang":112,"published":25},{"path":859,"name":25,"lang":115,"published":4},{"path":852,"name":25,"lang":117,"published":25},{"path":852,"name":25,"lang":119,"published":25},{"path":852,"name":25,"lang":121,"published":25},{"path":852,"name":25,"lang":123,"published":25},{"path":852,"name":25,"lang":125,"published":25},{"path":852,"name":25,"lang":127,"published":25},{"type":138,"attrs":7842},{"color":6964},{"type":959},{"text":7845,"type":81,"marks":7846}," oder speziellen Leuchtlupen, die das Zeitunglesen wieder ermöglichen können. Im weiteren Verlauf stehen auch Fernrohrsysteme für die Orientierung im Freien zur Verfügung. Bildschirmlesegeräte helfen bei fortgeschrittener Erkrankung. Dank moderner elektronischer Möglichkeiten können heute auch Texte eingescannt und vorgelesen werden. Dabei leisten auch Smartphones gute Dienste.",[7847],{"type":138,"attrs":7848},{"color":46},{"text":7061,"type":81,"marks":7850},[7851],{"type":138,"attrs":7852},{"color":7067},{"type":318,"attrs":7854,"content":7855},{"level":462},[7856],{"text":7857,"type":81},"Selbsthilfegruppen",{"type":77,"content":7859},[7860],{"text":7861,"type":81},"AMD kann den Alltag und das Sozialleben betroffener stark beeinträchtigen. Selbsthilfevereine wie der Deutsche Blinden- und Sehbehindertenverband e.V. oder Pro Retina schaffen Kontakte zu Gleichgesinnten und bieten Beratung auch zu sozialrechtlichen Fragen und Nachteilsausgleichen.   ",[],[7864],{"id":46,"_uid":7865,"body":7866,"component":220,"no_margin":3,"margin_top":221},"e7f61729-f967-4bb3-9cc7-fff104c52f22",{"type":74,"content":7867},[7868,7885,7892,7913,7921,7942,7950,7961,7969,8018,8026],{"type":77,"content":7869},[7870,7875,7880],{"text":7871,"type":81,"marks":7872},"Ad oggi non esistono opzioni terapeutiche per la degenerazione maculare secca, ma questo ",[7873],{"type":138,"attrs":7874},{"color":46},{"text":7876,"type":81,"marks":7877},"potrebbe",[7878],{"type":138,"attrs":7879},{"color":6944},{"text":7881,"type":81,"marks":7882}," presto cambiare. Essenziale per proteggere gli occhi è una dieta sana ed equilibrata. Inoltre vanno ridotti al minimo i fattori di rischio, ad esempio evitando il fumo e proteggendosi dal sole con filtri UV e per la luce blu.  ",[7883],{"type":138,"attrs":7884},{"color":46},{"type":77,"content":7886},[7887],{"text":7888,"type":81,"marks":7889},"Altrettanto importante è l'autocontrollo quotidiano con una griglia di Amsler: un foglio di carta a quadretti con un punto al centro deve essere guardato separatamente con entrambi gli occhi. Se le linee appaiono ondulate o distorte, ciò può indicare l'insorgenza della AMD umida. In tal caso, è consigliabile fissare immediatamente un appuntamento con un oculista.  ",[7890],{"type":138,"attrs":7891},{"color":46},{"type":77,"content":7893},[7894,7899,7904,7909],{"text":7895,"type":81,"marks":7896},"Nel caso della degenerazione maculare umida, la progressione può essere quanto meno rallentata ",[7897],{"type":138,"attrs":7898},{"color":46},{"text":7900,"type":81,"marks":7901},"significativamente",[7902],{"type":138,"attrs":7903},{"color":6944},{"text":7905,"type":81,"marks":7906}," con svariati trattamenti diversi.",[7907],{"type":138,"attrs":7908},{"color":46},{"text":7061,"type":81,"marks":7910},[7911],{"type":138,"attrs":7912},{"color":7181},{"type":318,"attrs":7914,"content":7915},{"level":462},[7916],{"text":7917,"type":81,"marks":7918},"Farmaci",[7919],{"type":138,"attrs":7920},{"color":7067},{"type":77,"content":7922},[7923,7928,7933,7938],{"text":7924,"type":81,"marks":7925},"I farmaci sono il trattamento d'elezione per la degenerazione maculare umida. Si utilizzano i ",[7926],{"type":138,"attrs":7927},{"color":46},{"text":7929,"type":81,"marks":7930},"cosiddetti",[7931],{"type":138,"attrs":7932},{"color":6944},{"text":7934,"type":81,"marks":7935}," inibitori del VEGF, che vengono iniettati direttamente nell'occhio per inibire la formazione di nuovi vasi sanguigni. Sebbene questo trattamento farmacologico non possa curare la degenerazione maculare senile, può certamente arrestarne o rallentarne la progressione. Il trattamento, infatti, riduce i depositi di fluido nella retina, migliorando spesso l'acuità visiva.",[7936],{"type":138,"attrs":7937},{"color":46},{"text":7061,"type":81,"marks":7939},[7940],{"type":138,"attrs":7941},{"color":7181},{"type":318,"attrs":7943,"content":7944},{"level":462},[7945],{"text":7946,"type":81,"marks":7947},"Intervento chirurgico",[7948],{"type":138,"attrs":7949},{"color":7067},{"type":77,"content":7951},[7952,7957],{"text":7953,"type":81,"marks":7954},"Se gli altri metodi di trattamento non hanno successo, in rari casi si può optare per l'intervento chirurgico, che consiste nell'asportazione chirurgica delle sottili membrane di tessuto che si sviluppano sotto la retina.",[7955],{"type":138,"attrs":7956},{"color":46},{"text":7061,"type":81,"marks":7958},[7959],{"type":138,"attrs":7960},{"color":7181},{"type":318,"attrs":7962,"content":7963},{"level":462},[7964],{"text":7965,"type":81,"marks":7966},"Ausili visivi ingrandenti",[7967],{"type":138,"attrs":7968},{"color":7067},{"type":77,"content":7970},[7971,7976,7981,7986,8009,8014],{"text":7972,"type":81,"marks":7973},"In ",[7974],{"type":138,"attrs":7975},{"color":46},{"text":7977,"type":81,"marks":7978},"tutte",[7979],{"type":138,"attrs":7980},{"color":6944},{"text":7982,"type":81,"marks":7983}," le fasi della malattia, ausili visivi ottici o elettronici di ingrandimento possono semplificare molto la vita quotidiana per le persone colpite. Spesso si comincia con ",[7984],{"type":138,"attrs":7985},{"color":46},{"text":7987,"type":81,"marks":7988},"occhiali da lettura",[7989,8006,8008],{"type":86,"attrs":7990},{"href":842,"uuid":841,"anchor":25,"target":90,"linktype":91,"story":7991,"original_href":849},{"id":844,"uuid":841,"slug":845,"full_slug":846,"path":46,"parent_id":714,"name":847,"is_folder":3,"published":4,"is_startpage":3,"position":848,"real_path":849,"alternates":7992,"_stopResolving":4},[7993,7994,7995,7996,7997,7998,7999,8000,8001,8002,8003,8004,8005],{"path":852,"name":25,"lang":102,"published":25},{"path":852,"name":25,"lang":104,"published":25},{"path":852,"name":25,"lang":106,"published":25},{"path":852,"name":25,"lang":108,"published":25},{"path":852,"name":25,"lang":110,"published":25},{"path":852,"name":25,"lang":112,"published":25},{"path":859,"name":25,"lang":115,"published":4},{"path":852,"name":25,"lang":117,"published":25},{"path":852,"name":25,"lang":119,"published":25},{"path":852,"name":25,"lang":121,"published":25},{"path":852,"name":25,"lang":123,"published":25},{"path":852,"name":25,"lang":125,"published":25},{"path":852,"name":25,"lang":127,"published":25},{"type":138,"attrs":8007},{"color":6964},{"type":959},{"text":8010,"type":81,"marks":8011}," rinforzati o speciali lenti di ingrandimento illuminate, che possono rendere nuovamente possibile la lettura dei giornali. Per gli stadi successivi sono disponibili anche sistemi telescopici per l'orientamento all'aperto. In caso di patologie avanzate, dispositivi di lettura degli schermi possono essere d'aiuto. Le moderne tecnologie elettroniche consentono inoltre di scansionare i testi e farseli leggere ad alta voce. In questi casi, gli smartphone sono di grande aiuto.",[8012],{"type":138,"attrs":8013},{"color":46},{"text":7061,"type":81,"marks":8015},[8016],{"type":138,"attrs":8017},{"color":7181},{"type":318,"attrs":8019,"content":8020},{"level":5627},[8021],{"text":8022,"type":81,"marks":8023},"Gruppi di auto-aiuto",[8024],{"type":138,"attrs":8025},{"color":7067},{"type":77,"content":8027},[8028],{"text":8029,"type":81,"marks":8030},"L'AMD può influenzare pesantemente la vita quotidiana e sociale delle persone colpite. Organizzazioni di auto-aiuto come l'Associazione tedesca per i ciechi e gli ipovedenti o Pro Retina possono mettere in contatto i pazienti e offrono consulenza su questioni di diritto sociale e risarcimenti per i disturbi. ",[8031],{"type":138,"attrs":8032},{"color":7181},[],{"_uid":8035,"color":46,"plugin":66},"44f52119-4990-4037-9ea0-ed924979aa8b",[8037],{"tag":181,"_uid":8038,"look":181,"text":7111,"color":8039,"weight":187,"component":188},"2283fd98-07ae-4be6-ba18-ab45d6ac3b73",{"_uid":8040,"color":46,"plugin":66},"98d05ee4-a738-4d6d-9515-e46f9b0f4ca4",{"_uid":8042,"color":46,"plugin":66},"cf24c39e-0c64-47bd-ac06-ecf8319e5cf7",{"id":8044,"_uid":8045,"body":8046,"images":8052,"headline":7031,"text_ref":8053,"component":6966,"sub_title":46,"margin_top":470,"cta_content":8069,"color_border":8070,"headline_ref":8072,"headline_tag":46,"in_container":3,"headline_look":181,"text_placement":46,"headline_weight":187,"color_background":8077,"margin_top_mobile":311,"margin_top_desktop":311},"heilbar","c9015300-05b4-4a00-8a06-4d3db75ccc85",{"type":74,"content":8047},[8048],{"type":77,"content":8049},[8050],{"text":8051,"type":81},"Insbesondere für die trockene Makuladegeneration gibt es bisher keine Behandlungsmöglichkeiten. In Zukunft soll sich das jedoch ändern: Weltweit laufen derzeit klinische Studien mit verschiedenen Medikamenten, die die Entzündungsreaktion in der Netzhaut bei AMD beeinflussen sollen – ein neuer Ansatz, der künftig das Augenlicht retten soll. Diese neue Behandlung der Makuladegeneration kann zwar bereits entstandene Schäden an der Netzhaut nicht reparieren. Wird die Krankheit aber in einem so frühen Stadium erkannt, dass das Zentrum der Makula noch intakt ist, so könnte zumindest ein Fortschreiten der Krankheit gebremst werden. ",[],[8054],{"id":46,"_uid":8055,"body":8056,"component":220,"no_margin":3,"margin_top":221},"a03dcb35-29a5-4919-b2b4-c334b4f072a4",{"type":74,"content":8057},[8058],{"type":77,"content":8059},[8060,8065],{"text":8061,"type":81,"marks":8062},"Ad oggi non esistono opzioni terapeutiche per la degenerazione maculare secca. Questa situazione, però, è destinata a cambiare in futuro: sono attualmente in corso in tutto il mondo sperimentazioni cliniche con diversi farmaci che mirano a influenzare la reazione infiammatoria della retina nell'AMD, un nuovo approccio che potrebbe salvare la vista. Questo nuovo trattamento per la degenerazione maculare non potrà riparare i danni già verificatisi alla retina, ma se la malattia viene individuata in una fase sufficientemente precoce da poter salvare il centro della macula, la progressione della malattia potrebbe almeno essere rallentata.",[8063],{"type":138,"attrs":8064},{"color":46},{"text":7061,"type":81,"marks":8066},[8067],{"type":138,"attrs":8068},{"color":7181},[],{"_uid":8071,"color":46,"plugin":66},"e0b08921-d2c8-4cbf-8dab-9fe28e355d84",[8073],{"tag":181,"_uid":8074,"look":181,"text":7121,"color":8075,"weight":187,"component":188},"d828017e-bb9d-49f3-8676-68ef0b06a81b",{"_uid":8076,"color":46,"plugin":66},"84bfb5bf-8de5-483a-adbc-04001b4ec829",{"_uid":8078,"color":46,"plugin":66},"5a67fd11-b119-482e-bd05-2f6a7ca24346",{"id":46,"_uid":8080,"body":8081,"images":8094,"headline":46,"text_ref":8095,"component":6966,"sub_title":46,"margin_top":470,"cta_content":8111,"color_border":8112,"headline_tag":46,"in_container":3,"headline_look":6901,"text_placement":46,"headline_weight":187,"color_background":8114,"margin_top_mobile":311,"margin_top_desktop":311},"9dd77477-db51-41c6-91cb-1d78a12483c2",{"type":74,"content":8082},[8083],{"type":77,"content":8084},[8085,8087,8092],{"text":8086,"type":81},"*",{"text":8088,"type":81,"marks":8089},"Quelle: ",[8090],{"type":138,"attrs":8091},{"color":46},{"text":8093,"type":81},"https:\u002F\u002Fwww.augeninfo.de\u002Foffen\u002Findex.php?thema=404",[],[8096],{"id":46,"_uid":8097,"body":8098,"component":220,"no_margin":3,"margin_top":221},"31b6cc98-8b5a-4fef-a305-59b357a5d748",{"type":74,"content":8099},[8100],{"type":77,"content":8101},[8102,8107],{"text":8103,"type":81,"marks":8104},"* Fonte: https:\u002F\u002Fwww.augeninfo.de\u002Foffen\u002Findex.php?thema=404",[8105],{"type":138,"attrs":8106},{"color":46},{"text":7061,"type":81,"marks":8108},[8109],{"type":138,"attrs":8110},{"color":7181},[],{"_uid":8113,"color":6972,"plugin":6973},"e140c9e0-7851-4d9e-af94-9c859fc9b2f6",{"_uid":8115,"color":6972,"plugin":6973},"d11374cd-4250-4b35-af26-f6d4790c1222",{"id":46,"_uid":8117,"body":8118,"images":8121,"headline":46,"text_ref":8122,"component":6966,"sub_title":46,"margin_top":470,"cta_content":8123,"subline_ref":8124,"color_border":46,"headline_ref":8125,"headline_tag":46,"in_container":3,"creative_name":46,"headline_look":6901,"promotion_name":46,"text_placement":8126,"headline_weight":187,"color_background":46,"margin_top_mobile":311,"margin_top_desktop":311},"8e66b9a9-cede-45fe-a028-43c589d2609c",{"type":74,"content":8119},[8120],{"type":77},[],[],[],[],[],"text-left",{"id":46,"_uid":8128,"body":8129,"images":8132,"headline":46,"text_ref":8133,"component":6966,"sub_title":46,"margin_top":470,"cta_content":8142,"subline_ref":8143,"color_border":46,"headline_ref":8144,"headline_tag":46,"in_container":3,"creative_name":46,"headline_look":6901,"promotion_name":46,"text_placement":8126,"headline_weight":187,"color_background":46,"margin_top_mobile":311,"margin_top_desktop":311},"f25e6524-27eb-4971-a40c-1afe57261caa",{"type":74,"content":8130},[8131],{"type":77},[],[8134],{"id":46,"_uid":8135,"body":8136,"component":220,"no_margin":3,"margin_top":470},"06610edf-d698-469e-b22f-5a487879679d",{"type":74,"content":8137},[8138],{"type":77,"content":8139},[8140],{"text":8141,"type":81},"Qui potrai scoprire di più sul mondo degli occhi con ulteriori informazioni sicure e aggiornate. I nostri articoli offrono informazioni preziose sulla prevenzione, la cura e le opzioni di trattamento dei disturbi degli occhi.",[],[],[8145],{"tag":181,"_uid":8146,"look":181,"text":8147,"color":46,"label":46,"weight":187,"component":188},"adc4afeb-85eb-4b67-9ee1-ebb167d8c2a9","Altre 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