The Reality of Macular Pseudoholes

On Episode 19 of the Better Eye Health Podcast, Dr. Miller looks at the issue of Macular Pseudoholes and the reality of what it means to have degeneration of the eye. He also talks about the role of genetic testing in this matter. 

As always you will find the link to the Podcast, as well as the full transcript. You can also download a PDF of the transcript down at the bottom the page. Enjoy! 


BETTER EYE HEALTH PODCAST - EPISODE 19
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TRANSCRIPT FOR BEH PODCAST EPISODE 19

THE REALITY OF MACULAR PSEUDOHOLES

Dr. Miller:  A participant had a question that his brother was diagnosed with Macular Pseudohole.  The ophthalmologists have a different view about this than the integrative physicians do.  There are numerous diagnoses: macular hole, macular pseudohole, macular fold, macular tear.  There are all of these different terms that basically refer to structural degeneration of the retina that the ophthalmologist sees when they examine your eye.  They would say that those are all different from macular degeneration.

I would say something else.  I think if you’re having a structural breakdown in your eye, that’s not normal.  Very often, I have people come in. They have a clear diagnosis of macular degeneration, and it began years before with doctors noticing structural problems with their retina.  I have just a very small series of people back before genetic testing became somewhat affordable.  Here’s a topic for another day, but I don’t recommend that everyone run out and get genetic testing.  I had a few people who came to me with these diagnoses: macular tear, macular hole; their doctors said, don’t worry you don’t have macular degeneration.  But, they had the means to pay for what was then pretty much a research test.  They had a genetic test to see if they had any of the genes that were known to predispose someone to macular degeneration.  A handful of these people that were willing to put up their own money to do that testing. They all had, 100% of them, that did the testing had genes that suggested they were at risk for macular degeneration, should they live long enough and not be healthy. 

So I tend to get concerned if someone has a physical breakdown of the structure of their retina, because like I say, that’s not normal.  You want to be doing a program to care for the health of your retina.  Do you need to be doing the full better eye health program? Maybe not, but you need to be mindful of that. 


BETTER EYE HEALTH PODCAST - EPISODE 19
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