{"id":77,"date":"2013-07-15T10:42:22","date_gmt":"2013-07-15T09:42:22","guid":{"rendered":"http:\/\/www.vision-laser.fr\/?page_id=77"},"modified":"2026-02-16T18:53:14","modified_gmt":"2026-02-16T17:53:14","slug":"premiers-signes-dalerte","status":"publish","type":"page","link":"http:\/\/www.vision-laser.fr\/en\/dmla-macula-retine\/premiers-signes-dalerte\/","title":{"rendered":"Early warning signs"},"content":{"rendered":"<h2 class=\"wp-block-heading\">Early warning signs<\/h2>\n\n\n\n<p class=\"translation-block\">One of the first <strong>signs<\/strong> that should lead the patient to consult is the impression of seeing warped, deformed lines; straight lines appear wavy: this is what is called <strong>metamorphopsia<\/strong>.<\/p>\n\n\n\n<p class=\"translation-block\">Very often the patient also complains of a <strong>decrease in visual acuity<\/strong> often wrongly attributed to a change of glasses or the onset of cataracts which can often coexist with damage to the <a href=\"http:\/\/www.vision-laser.fr\/en\/dmla-macula-retine\/\" target=\"_self\"><strong>macula<\/strong><\/a>. He feels the need for more light when reading.<\/p>\n\n\n\n<p>A l\u2019examen l\u2019ophtalmologiste constate une baisse d\u2019acuit\u00e9 visuelle&nbsp;progressive de loin et de pr\u00e8s associ\u00e9e souvent \u00e0 une moindre perception des contrastes, ou brutale qui correspond le plus souvent \u00e0 l\u2019apparition des n\u00e9o-vaisseaux.<\/p>\n\n\n\n<p>In practice, the ophthalmologist uses the Amsler grid by testing eye by eye to explore the macula in the face of such signs.<\/p>\n\n\n\n<p>A complete assessment will then confirm the diagnosis and specify the stage and form of AMD.<\/p>\n\n\n\n<p>At a more advanced stage, a central dark spot (scotoma) appears and obstructs vision in the center of the visual field.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter\"><img decoding=\"async\" src=\"http:\/\/www.vision-laser.fr\/wp-content\/uploads\/2013\/07\/T\u00e2ches-sombres.jpg\" alt=\"T\u00e2che sombre (scotome)\"\/><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">&nbsp;<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Risk factors<\/h2>\n\n\n\n<p>Cette maladie comprend un facteur h\u00e9r\u00e9ditaire.<br>Une personne atteinte de DMLA dans la famille multiplie par 3 le risque d\u2019\u00eatre touch\u00e9.<br>Hormis l\u2019\u00e2ge, les facteurs de risques comprennent le tabagisme, ainsi que probablement l\u2019hypertension art\u00e9rielle, la couleur claire de l\u2019iris, les ant\u00e9c\u00e9dents d\u2019accidents coronariens et l\u2019exposition importante \u00e0 la lumi\u00e8re.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">&nbsp;<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Evolution of Macular Degeneration<\/h2>\n\n\n\n<p>Sans traitement la DMLA d\u2019un \u0153il peut se bilat\u00e9raliser. On ne gu\u00e9rit pas de cette pathologie mais son traitement permet de ralentir son \u00e9volution.<br>Selon le type de DMLA son \u00e9volution sera plus ou moins rapide.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"L&#039;UHN Explique : D\u00e9ficience Visuelle: D\u00e9g\u00e9n\u00e9rescence Maculaire\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/3uxrHSAvxec?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>","protected":false},"excerpt":{"rendered":"<p>Premiers signes d&rsquo;alerte Un des premiers signes qui doit amener le patient \u00e0 consulter est l\u2019impression de voir des lignes gondol\u00e9es, d\u00e9form\u00e9es, les lignes droites paraissent ondul\u00e9es : c\u2019est ce qu\u2019on appelle les m\u00e9tamorphopsies. Tr\u00e8s souvent aussi le patient se plaint d&rsquo;une baisse d&rsquo;acuit\u00e9 visuelle souvent imput\u00e9e \u00e0 tort \u00e0 un changement de lunettes ou [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":76,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"om_disable_all_campaigns":false,"inline_featured_image":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-77","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"http:\/\/www.vision-laser.fr\/en\/wp-json\/wp\/v2\/pages\/77","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.vision-laser.fr\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/www.vision-laser.fr\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/www.vision-laser.fr\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"http:\/\/www.vision-laser.fr\/en\/wp-json\/wp\/v2\/comments?post=77"}],"version-history":[{"count":15,"href":"http:\/\/www.vision-laser.fr\/en\/wp-json\/wp\/v2\/pages\/77\/revisions"}],"predecessor-version":[{"id":25180,"href":"http:\/\/www.vision-laser.fr\/en\/wp-json\/wp\/v2\/pages\/77\/revisions\/25180"}],"up":[{"embeddable":true,"href":"http:\/\/www.vision-laser.fr\/en\/wp-json\/wp\/v2\/pages\/76"}],"wp:attachment":[{"href":"http:\/\/www.vision-laser.fr\/en\/wp-json\/wp\/v2\/media?parent=77"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}