Macular Dystrophy

Image of an elderly man's face.

You may have heard of macular degeneration, an age-related condition in which people suffer permanent vision loss due to damage in a part of the retina called macula. But you may not be so familiar with a similar macular condition that also causes vision loss -- even in young people. This condition, known as macular dystrophy, takes its cue from the sufferer's genetic makeup and produces varying degrees of vision loss. If you have macular dystrophy, understanding the precise nature of your condition can help you make smart decisions for coping with it.

Understanding Macular Dystrophy

The macula is a collection of cells in the center of the retina, the spot at the back of the eyeball that relays images to the optic nerve. In turn, the optic nerve sends images to the brain's visual center for interpretation. Photoreceptors in the macula are responsible for sending information regarding the central field of vision and the perception of colors. Macula dystrophy occurs when a buildup of pigment in the macula causes the cells to lose their ability to function. This damage may cause you to lose some or all of your central field of vision, leaving your peripheral vision intact, or it may render you color blind.

Unlike macular degeneration, which also causes a loss of central vision but generally appears late in life, macular dystrophy is a genetic mutation that can express itself in young adulthood or even childhood. (The childhood variety is known as Best disease, named after the BEST1 gene that seems to cause it.)

Diagnosis and Treatment

If you suffer from early signs of central vision loss or difficulty registering colors, you may have macular degeneration or cataracts. If you test negative for those conditions, however, you may want to get checked for macular dystrophy. Your eye care professional may inject yellow-green dye into the veins of the eye to look for signs of the condition, or check for remnants of cells sloughed away by retinal disease. Electrodes can measure your eye's ability to react to light as well. These tests, along with genetic testing, can help you discover what type of macular dystrophy you may have, if any.

While no treatment currently exists for macular dystrophy, the fact that it tends to progress slowly puts time on your side. Some cases even stop progressing on their own.

Location

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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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    Susan 3/16/19 - Amazing
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  • "Dr. Durham and her staff are the best and most knowledgeable dealing with brain injuries. Highly recommended!"
    Kristina 3/11/19 - Absolutely the best!
  • "Thought exam was personal, deteilrd and fully explained. Staff were prompt, kind, snd professional. I’d recommend Dr. Durham’s clinic to anyone needing eye care."
    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
  • "My visit was more than I could of asked for. I told my friends about my visit to the future. Dr. Dunham was extremely knowledgeable, concerned and determined to get it right, Her staff seemed to respect her greatly. staff was trained very well and gave me the confidence they knew what they were doing.
    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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  • "This office has all of the latest equipment and skills to take care of your eyes."
    Wales 2/6/19 - Great eye care!
  • "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
  • "Our family visit was over the top. The entire staff took their time and made sure each and everyone's exam was through. No pressure to buy glasses. Our experience with Dr. Nakagawara was outstanding!!"
    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!"
    Cynthia 1/30/19 - Highly recommend
  • "I was thrilled to learn about the new Shaw lens concept to treat my daughter's amblyopia!"
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