How to Detect Drusen – My Retinal Disease Checkup Process

How to Detect Drusen – My Retinal Disease Checkup Process


The other thing that was a little bit
disturbing was I have a druse, which is the singular for drusen. In other words,
I’m starting some of that diabetic or age-related eye disease. So I just got
back from the optometrist. For a doc that does prevention, I shouldn’t
admit it it’s been like four or five years. Here’s the good news – my distance
vision has improved to where I don’t really need distance glasses anymore. Bad
news is that I need something for reading, and I knew that my readings
getting worse and worse. I bought an iPad recently because I can’t read books on
my iPhone anymore. The other thing that was a little bit disturbing was I have a
druse, which is the singular for drusen. In other words, I’m starting some of that
diabetic or age-related eye disease. I’ll show you in just a second. So Dr. Myer,
what did you see on my test? First of all, what tests were these? So this is a
wide-angle shot of your retina. This is called an optic disc, but what we’re
looking here is a picture of the back of your left eye. These are your eyelashes,
but this is the optic nerve, the cable that connects the eye to the brain, the
blood vessels, and the whole things the retina. So a traditional dilation, we
shine bright lights and looking for any holes or tears or breaks the retina.
So we don’t see signs of anything like that. Then we look at the optic nerve, the
cable that connects to the brain, the blood vessels, and then the center part
of the retina is the macula. It’s responsible for the center part of the
vision so with some issues with diabetes and high blood pressure, it can cause
damage to these blood vessels and cause them to bleed and leak fluid. Did you
know this diabetic retinopathy? So in your case, in your macula, the center part
of the retina, we do see this little lipid deposit which is known as a drusen.
These can sometimes be seen in people with macular degeneration. Now we took
another scan of the eye, OCT, which does a hi-def look at the
macula. So could you point out that drusen with the very sort of yellowish sort of
drusen or a single would be a druse. But okay, but the macula here the center part
has the highest concentration of cones and the photoreceptors that are
responsible for high vision, and that’s why it’s sort of dark green pigment.
Now the other scan looks at sort of a cross-section of the retina and of the
macula. And normally, it has a little fold. This is called an OCT (optical
tomography). All have a lots of compositor.
Yeah, communicate to me. Hey, you got it so normally it has a little sort of dip to
it. So these are all the layers of the retina. So looking at that druse, we can
see here a little bump right there. And like I said, sometimes this lumpy, bumpy
appearance can be associated with age-related macular degeneration. But in
general, I think it has the normal contour and the average thickness for
someone your age. But this is definitely a spot where when I’m going to keep an
eye on that. This progresses… it can cause vision loss and issues. Thank you very
much. Thank you, Dr. Myer. Well, thank you for coming in. So there you have it. Spite
the fact that I’m doing a lot to control, this disease process, macular
degeneration, age-related eye disease, AREDS, all of
these diseases are similar to diabetes, they are a slow progression of a disease.
And the trick here, the goal is to slow it down as much as much as possible and
in some cases even reverse it. Thank you very much for your interest. If you don’t know this already, take it
from me. You don’t want to suffer a heart attack or a stroke. You don’t want to
hope for treatment after these have already happened.
Heart attacks, the number one cause of death still. And stroke is the number one
cause of permanent disability. And when we talk about that, we forget about the
fact that it causes so much agony for your family. So why wait for a heart
attack and stroke to happen when the knowledge and tools are there and
they’re available. If you’re worried about the tests, the cost of tests, the
consultations, the cost of that, I understand. It shouldn’t have to cost
that much taking first steps for your health. It should not be that expensive.
My name is Ford Brewer. I’m a board-certified preventive medicine
doctor I used to teach this at Johns Hopkins. I’ve taught hundreds of doctors
in prevention. I’ve helped thousands of people avoid death and disability from
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13 thoughts on “How to Detect Drusen – My Retinal Disease Checkup Process”

  1. Ahhhh, yes “ reversal “ is music to my ears! Ha! Hearing is another issue. Anyway, I have witnessed reversal of several conditions now amongst my family and friends, so there is hope through concerted effort! 🖖

  2. Dr Knobbe, an opthamologist, has indicated that age-related macular degeneration is correlated with ingestion of seed oils like soybean, canola, etc. I'm sure there are other causes of macular degeneration. These highly processed cheap oils are in everything. Dr. Knobbe has some interesting videos on YouTube regarding AMD. Correlation is not causation but the association is interesting nevertheless.

  3. very informative for me doc. I am 46 and used to have bad t2d for over 10 years with an average a1c of ten. I have not seen an eye doctor for that amount of time. The only thing i have been obsessed about was my a1c. In a course of a year with hard effort i brought it down to a 4.9….Now from watching you and learning your a1c is not the most accurate way of testing how your body deals with glucose, it is the oral glucose tolerance test, which i will be taking in a few weeks. I will go to the eye doctor next week and go see if i have this drusen guy hanging out in my eye. Are you ever going to go back to reviewing research papers. I really found that informative. U are the only person other than dr. greger from nutritionfacts.org that does that, and he does mainly food, with some supplements

  4. My optimists told me I had high blood pressure when she saw the same picture
    Bug surprise because I have traditional low pressure and pulse
    On pressure medicine now
    No one told me why
    Thanks to you and others I had a kraft insulin test
    I am not diabetic . Very good glucose processor
    Now working on arteries and heart as being the culprits
    Thank you for helping m e

  5. My 91 year old mother has Mack degeneration and the Bausch n Lomb PreserVision Areds2 vitamins have stopped its progression …
    Unfortunately crossing the street, she didn’t see that UPS truck which did her in !!
    Sorry, I’m Irish, we take a laugh to our misery’s… easier to swallow your pains that way…

  6. I believe the Israelis have the cure for Mack degeneration and cancer… and other death diseases, but they are about control… so they will release their cures when their good n ready. All I learned is that you can’t cure Mack degeneration or altzheimers with food…
    A 750 nm red light therapy bulb might improve altzheimers , as it did something to my 91 year old father… but I was too late… kidney failure did him in at 92…

  7. I had my eyes scanned the other day when I had an eye test and bought new glasses. I'm waiting for the results of the scan. My eyes were in perfect condition about 4 years ago when I last had them checked. Hopefully they still are in perfect condition. My eye pressures were perfect.

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