Macular Degeneration

Image of an elderly couple.

One of the most important reasons for regular examinations by your eye care provider is evaluate for the development of macular degeneration. According to the Bright Focus™ Foundation, this condition is the primary cause of loss of vision and blindness in older individuals ages 60 and above and is known under these circumstances as age-related macular degeneration. Studies conducted by the American Academy of Ophthalmology (AAO) indicate that 10 to 15 million Americans have a diagnosis of age-related macular degeneration. Moreover, macular degeneration is a world-wide problem as the second most frequent cause of irreversible blindness globally.

Eye Anatomy

When we think of our "eyes," we usually imagine the outer eye anatomy with the round pupil and white sclera. Eyesight -- or the lack of it -- is more often caused by damage to the unseen structures behind the pupil. One of these inner, unseen structures is the retina which contains "photoreceptor" cells. These cells pick up signals of light, movement and color that are translated by the brain into images. The back of the retina -- on the opposite side of the eyeball from the pupil -- is the retina's center, the macula. The macula processes signals that allow us to see straight ahead and with clarity, color, contrast and detail.

Types of Macular Degeneration

The science of optometry and ophthalmology, classify macular degeneration into one of two types: dry or wet. Diagnoses can change from one type to the other. The difference between the types can best be remembered by associating "wet" with blood vessels.

• Dry Macular Degeneration

This type of damage is the most common form, accounting for approximately 90 percent of macular degeneration diagnoses. Yellow-colored metabolic waste products known as drusen collect beneath the retina, causing a painless but progressive damage and cell death to retinal cells. This form of the disease usually progresses more slowly than does the wet form, however, its ultimate result can be devastating: sufferers may be left without any central version. Imagine a large dark "ball" blocking most of your site all of the time. Peripheral vision is all that may remain, markedly impairing or preventing normal activities of daily living such as driving, reading, watching television, cooking and any work that requires small, detail-oriented work.

• Wet Macular Degeneration

Wet macular degeneration makes up only 10 percent of this condition's diagnoses but is the culprit in legal blindness 90 percent of the time. In this form of the disease, the body attempts to make up for the death of photoreceptors cells by growing new, but fragile, blood vessels behind the macula. Leaking blood vessels can further impair sight and cause permanent scarring of the macula. Symptoms of the damage are similar to that of dry macular degeneration, however, its progress can take place rapidly.

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Hours of Operation

We are closed for lunch daily from 12:00 PM to 1:00 PM

Brier Creek Vision Care

Monday:

8:00 AM - 5:00 PM

Tuesday:

8:00 AM - 5:00 PM

Wednesday:

8:00 AM - 5:00 PM

Thursday:

8:00 AM - 5:00 PM

Friday:

8:00 AM - 5:00 PM

Saturday:

Closed

Sunday:

Closed

Testimonial

  • "Excellent office. Staff is helpful and polite when dealing with my special needs child. They understand when he needs break and how to redirect to another technique to achieve goal. Would highly recommend to others!"
    Jennifer, Raleigh, NC
  • "I needed an eye doctor to see me for my concussion issue that effected my eyesight. There isn't many who are able to assess. Dr. Durham knew just how to work with my case in a gentle manner to help keep me calm. I finally have hope for healing now."
    Elizabeth 3/15/19 - Answer to Prayer
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    Thomas 3/10/19
  • "The staff was very polite and extremely patient with my condition. Very specific about my condition and caring to help me recover. We will have a long road to recovery together."
    Elizabeth 3/11/19
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    Sandy 3/7/19 - Great eye checkup
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    I have already told my friends about my visit to the future."
    Patricia 2/24/19 - Everything was perfect.
  • "My daughter and I have have had great experiences at Brier Creek Vision! Dr. N. Is fantastic!! The office staff is super friendly, accommodating and very pleasurable to work with. Eye glass frames are plentiful and the opticians are helpful, suggestive and patient! Thanks to everyone for making all of visits wonderful!!"
    Cynthia 2/14/19 – Great Experience
  • "Dr Nakagawara is open, friendly and extremely knowledgeable. Karim Glover in the optical dispensary took great care in explaining and helping me to get great value on a new set of prescription sunglasses that will do much more than my previous set. Extremely happy.
    Loved the Optician!"
    Thomas 2/22/19 - Great Doctors and Team...
  • "I cannot tell you how happy I am with Brier Creek Vision. Everyone from the moment you enter, all the way through the appointment, is knowledgeable friendly and caring. I receive excellent and professional care. Highly recommend!"
    Helen 2/21/19 - Excellent care
  • "Went from 20/30 to 20/20! The sky is the limit with dr Patel. Will continue to bring both my kids here...."
    Temidayo 2/17/19 - Dr Patel Rocks!!!!
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  • "The atmosphere in the office is very pleasant and welcoming. I always feel comfortable in both the waiting room and the exam rooms. Selecting glasses is also a breeze, as the staff is extremely helpful and knowledgable."
    Kris 1/31/19 - Amazing Experience
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    Melissa 1/31/19 - Recommend
  • "I always have the best visit at Brier Creek Vision. My Doctor, Esther Nakagawara, is the best at what she does! She handles the procedures with care, caution and concern, explains well and has the best solutions to keep your eyes healthy. The staff is accommodating, patient and very kind to everyone; they never mind answering questions. The opticians are helpful in assisting with the selection of eyecare that looks good and works the best for you. I have told many people about my positive experiences at Brier Creek Vision and recommended this office as well."
    Kailah 1/30/19 - The Best in Eyeccare!!
  • "My family and I have been patients of Brier Creek Vision for 2 years. Dr. Nakagawara is a very caring and skilled OD who communicates, teaches and plans well. The staff and optometrists are inviting, knowledgeable and very helpful. We have recommended BCV to all our friends and family!"
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  • "I was thrilled to learn about the new Shaw lens concept to treat my daughter's amblyopia!"
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