Homeopathy Papers

The Homeopathic Treatment of Macular Degeneration

The Homeopathic Treatment of Macular Degeneration

Macular degeneration

Many homeopaths are reluctant to treat age related macular degeneration for several reasons. First, there is a poor understanding of the pathology and its affect on the visual system. Second is the belief that only a specialist should treat this serious disorder, and lastly is the belief this condition will not respond to homeopathy-it is an incurable state.

Since there is no effective allopathic treatment, why not try homeopathy? The homeopathic treatment of macular degeneration is a unique opportunity for homeopaths. I would like to share my experiences using homeopathy in the treatment of this disorder.

Definition of Age Related Macular Degeneration (ARMD)

Macular degeneration is a pathological condition that occurs in the macular area of the retina. The macula is the area of the retina responsible for central vision or that which gives us the greatest detail in our sight. The pathological changes primarily occur in the choroid (the vascular layer of the eye which lies between the sclera and the retina) and pigmented retinal epithelium (PRE – the layer separates the choroid from the retina). These changes may lead to fluid accumulation, hemorrhage and scar tissue. Loss of central vision occurs, but this rarely produces total blindness because the peripheral vision is preserved. Macular degeneration affects thirteen million Americans. Most of them are over the age of sixty-five, but certain hereditary conditions may cause it to develop in younger individuals. Persons over the age of seventy-five have a thirty percent chance of developing it.

ARMD; it rarely affects anyone younger than fifty-five years old. Caucasians tend to develop it more than persons of pigmented skin, due to the fact they have less pigment in the retina, especially if they have blue, gray, or green eyes. It affects men and women equally. People who are nearsighted (myopic) have a greater chance of developing the condition as do people who work or spend a lot of time out of doors and are exposed to ultraviolet radiation from sunlight.

Symptoms of ARMD

When a patient has ARMD, vision in the center of the visual field gets fainter and fainter until finally there is hardly any way to see objects in the center of the visual field. The first thing most people will notice is a lessening of their sight as they look straight ahead at things, like the printed word, faces or clocks. This may be a dimming, a blurring, or actual “holes” or black spots in the vision. Extreme light sensitivity and poor night vision also precede ARMD in many cases. Light-to-dark adaptation, for example, the ability to find a seat in a movie theater, is also apt to be very slow.

Macular degeneration rarely leads to total blindness. Instead, worsening symptoms include a loss of central vision and a diminished ability to see things straight ahead. People with ARMD will rely more and more on peripheral vision. Sometimes, in the early stages, there are holes in the vision, called scotoma. These are areas where you cannot see anything. Most people with ARMD become unable to drive and are eventually declared legally blind.

Types of ARMD

There are two main types of macular degeneration, wet and dry.
The dry or areolar type consists of degeneration of the retinal pigment cells resulting in drusen (described below) and hyper and hypopigmented areas in the retina with loss of rods and cones and generalized atrophy. Dry ARMD, which affects ninety percent of persons with ARMD, results from a buildup of cellular waste product called drusen, in the back part of the inner eyeball where the retina and macula are. Drusen is from the German word druse meaning bump or gland. It refers to the earliest changes that are observed in ARMD. A drusen or bump develops on Bruch’s membrane. This occurs when the retinal pigment epithelium becomes overloaded with undigested discs from the cones. This material collects on Bruch’s membrane producing thickened areas.

The wet type or exudative type presents as vascular leakage with exudates and a detachment of the retina with loss of vision. In addition when the retinal pigment epithelium becomes overloaded, the RPE cells begin to degenerate. Debris begins to accumulate at the base of these cells. These cells lose their attachment to Bruch’s membrane and fluid begins to accumulate under the cells. Soon there are breaks in Bruch’s membrane leading to growth and leakage of blood vessels from the choroid. This leakage and new blood vessel growth into the retina lead to the wet stage of macular degeneration. A small percentage of these cases can be treated successfully with the argon laser. There is another type of wet macular degeneration that occurs in people who are diabetic. This results from leakage of small blood vessels, which leads to fluid accumulation under the retina and loss of central vision.

Summary of the types of macular degeneration

– Dry Stage of Macular Degeneration
– Development of Drusen
– Degeneration of Retinal Pigment Epithelial Cells
– Wet stage of Macular Degeneration
– Breaks in Bruch’s Membrane Leading to Growth and Leakage of Blood Vessels
– Absorption of Blood with the Development of Scar Tissue

Traditional treatment

There have been many studies that have shown that the antioxidants, Vitamins A, C, E, Zinc and Selenium can retard the progression of this disorder. One of the treatments for wet ARMD uses laser surgery to cauterize the leaky blood vessels. This measure may preserve more vision in the long run, but usually results in worse vision in the short run because healthy tissue is almost always destroyed along with the diseased vessels. Laser treatments are only indicated for the wet type of degeneration and in fact only a small percentage of patients with the wet type will actually qualify for laser treatment.

Homeopathic approach

Macular degeneration can be treated homeopathically just like any other disease state of the body. The constitutional approach works best, the goal being to find the remedy for the totality of the case. When the remedy is not clear or the patient is not willing to undergo constitutional treatment, a more lesional approach can be used.

Rubrics for Macular degeneration:

INFLAMMATION – Choroid
EYE – INFLAMMATION – Chorio-retinitis
EYE – ATROPHY – CHORIOD, Atrophic spots
EYE – INFLAMMATION – Retina – pigmented
EYE – INFLAMMATION – Retina – punctata albescens
EYE – INFLAMMATION – Retina – syphilitic
EYE – INFLAMMATION – Retina
VISION – DIM VISION – FOGGY
VISION – LOSS OF VISION – vanishing of sight
VISION – LOSS OF VISION – colors, for
VISION – SCOTOMA VISION – SCOTOMA – central

Constitutional approach

Miasms

I first try to uncover the miasm stages in these cases to limit the remedies under consideration. The exudative type of degeneration represents the sycotic miasma. The dry or atrophic type of macular degeneration more commonly represents the syphilitic miasm. Psoric Stage – This is the earliest presentation with minimal pigmentary changes and a loss of the foveal light reflex. The foveal light reflex is produced when healthy cones reflect the light, which enters the eye. As the cells become weakened with age and disease, they loose this ability to reflect light. Sycotic Stage -There is a hyperproliferation of tissue in the macular area. This can manifest as excessive pigment which has the appearance of dark pepper like specks in the macular area. Another presentation can be that of drusen. These drusen cause a weakening of the retina and can lead to death of the photoreceptive cells. This weakness can also cause tiny blood vessels to grow into the retina. These vessels can leak fluid or bleed and cause a sudden loss of vision (wet macular degeneration). Syphilitic Stage – There is more destruction of tissue with atrophy and destruction of the retina.

Description of lesion

Characteristics of the macula can be very useful in remedy differentiation. Is the lesion wet or dry? Is there hyperpigmentation or hypopigmentation? What color is the exudate? Yellow, white, or orange? Is there blood present? What color is the blood? As an ophthalmologist I have the unique ability to observe the changes inside the eye and to use these physical findings to help select the remedy, but you can ask the patient to bring in retinal photos of the macular degeneration so you can study these characteristic features. I often will look at the Skin and Generalities sections as well. Some rubrics that I have found to be helpful in treating macular degeneration are:

SKIN – CICATRICES
SKIN – DISCOLORATION
SKIN – EXCRESCENCES
SKIN – ERUPTIONS
SKIN – FRECKLES
SKIN – INFLAMMATION
SKIN – WARTS
GENERALS – ARTERIOSCLEROSIS
GENERALS – ATROPHY
GENERALS – HEMORRHAGE
GENERALS – INDURATIONS
GENERALS – INFLAMMATION
GENERALS – STASIS of the venous system
GENERALS – TUMORS

Remedies that have an affinity to the eye

Retinal Atrophy

Carboneum sulphuratum
Cina maritima
Haliaeetus leucocephalus
Kalium chloricum
Phosphorous
Santoninum
Sanicula
Tabacum
Vanadium

Choroidal Atrophy

Cina maritima
Kalium chloricum
Kali iodatum
Santoninum
Veratrum viride

Lesional approach

Some prescribers have had experience with a more lesional approach to this disease. I use this approach when the patient is not interested in undergoing constitutional treatment.

About the author

Edward Kondrot

Dr. Edward Kondrot, MD(H),CCH, a board certified opthalmologist, is recognized as a pioneer in the use of homeopathy for eye conditions and is director of the Healing the Eye and Wellness Center in Arizona. He is author of "Healing the Eye the Natural Way: Alternative Medicine and Macular Degneration" , "Microcurrent Stimulation: Miracle Eye Cure", and Homeopathy and Eye Disease (Audio Tape).Visit him at his website at http://www. homeopathiceye.com

Leave a Comment

24 Comments

  • Dr. Kondrot , I am an internist practicing internal and integrative medicine in costa rica and have an 80 yeat pacient with we macular degeneration and bleeding and inflamation of the optic nerve. What suggestions of homeopathic meds do you have . Thank you very much

  • Edward, I find what you wrote fascinating. I believe my own experience with macular degeneration occurred as a result of cooking with all the seed oils (canola, vegetable, etc.) – I have read a lot about this and it made sense to me as my family believed it was healthier. Needless to say, we all suffer now from this. *Before my eyesight was fantastic!!

    Would you say that homeopathy would still help in this case? Even if MD was the result of using the heated veggie cooking oils? There is a lot of research about how these oils when heated actually affected millions of people in this way (started in the 80’s).

    Your comments appreciated. Thank you!

    • Robin,

      Where di d you find out about the seed oils causing problems at? I would love to read more about that.
      Thank you

  • I hope, for the askers’ sake, that the questions have been answered. I would really love to see more discussion about this particular subject here (even in the shape of comments), so that I could perhaps find some help myself. You see, I live in a country where there are no reliable homeopaths at hand and even homeopathic remedies are not sold (except for the odd combo “remedy” which I would not use, of course).

    I have had astigmatism and myopia since early adolescence. (I’ve been using contact lenses all this time).
    Recently my right eye has started to deteriorate rapidly. Judging by the symptoms, I would say it looks like macular degeneration, even though I am not “old” (I am fifty.) I have no other “conditions” that I know of. I don’t even get colds. But I do believe I have congenital connective tissue debility.

    The thought of vision loss is very distressing, and I would love to hear some suggestions, so that – in absence of a homeopath – I could thoroughly study the homeopathic options available myself. I am not exactly a beginner in homeopathy (self-taught, of course), and I have read all of Hahnemann’s texts plus many others, but I would love to hear some suggestions from a person who has actual experience with homeopathy and eyesight.

  • Dear sir thanks for that.I get injury when i was traveling in train… one stone heated from out side that stone cover eyebrow and maxilla, now problem is macular hole, told by doctor my age 27 only. ñow left eye6/6 and right eye 6/24. i am afraid of operation. please suggest to me homeopathic treatment.

  • I am detected with macular degeneration. I stay in Kolkata, India. How can i get in touch with Dr. Edward Kondrot? Please help!

  • my relative is 4.5yrs old he is suffering from macular digeration eye deases so please give me some suggestion so that he could be treated and could see everything and could go to school

  • hello,
    i am suffering from low vision due to macular dystrophy since 14 years. now i am 20. can anybody suggest what to do? any remedies pls?

  • I am suffering from low vision due to macular dystrophy since now I am 42. can anybody suggest what to do? any remedies pls?

  • very impressive article ,want to how can i contact or reach dr. kondrot
    ,i am in medical practice and use homeopathy for certain conditions.

  • Dear Dr.Kondrot,
    Am 74,and a patient of hypertension,which is under control,anfd have been diagnosed as suffering from Macular Degeneration,early stages…Luckily as soon as I noticed wavy vission I approached my Opthalmologist who immediately referred me to a Retinologist,who afte conducting a few tests diagnosed my condition as Macular Degeneration,and gave me AVASTIN Injection,at intervals of 4 weeks…I have just taken the 4th injection…but so far the improvement has been only slight/marginal…
    What homeopathic Treatment would you advise me to follow ?

    • Dear Mr Yogesh Lajmi,

      My father, 86 yrs, has been diagnosed with Age Related Macular Degeneration (ARMD). He has taken two injections of Avastin, but improvement is marginal. Can you please share your experience with homeopathic treatment and the medicines prescribed.

      Thank you

      Rakesh Kapoor

  • Dear Doctor
    My son aged 23 has developed macular dystrophy, alopathic doctors have given up any treatment. I am a national of Nepal. I need your advice and help. Please do me favor so my son may get better.

    • Dear Andy,

      I have sent you an email with contact information for a homeopath in Nepal. He may be able to help you find a homeopath near you in Nepal. I hope you and your son find the help you need.

      Sincerely
      Alan V. Schmukler
      Editor

  • Dear Sir,
    I am 53. I have been suffering from ARMD for 3 years. I have been under a retina specialist. He says there are RPE changes in both eyes. Recently, I have developed a complication: When I see an object above 10 feet I see it bent 40 degrees to right . I notice letter jump to above line. A homeo practitioner has given me calcaria fluor to take 4 tabs a day. I have started taking it. Can I expect any recovery?

    RAma Krishna

  • Hello,

    I am facing Heredomacular Degeneration, My age 28 years old
    few week back I know the disease
    and Doctor say it is not Genetic disease

    any kind of treatment for this disease in Homeopatic or other
    please guide me

    Thank you

  • My wife is 43 years old and has been detected with AMD.
    She has started seeing distortion of straight lines. She is a resident of Kolkata , India.
    What is the suggested homeopathic treatment for this.
    Can you pls suggest. We are in great tension.

  • Hello,

    I have noticed the wavy vision in my left eye along with some black spots in retina.
    may age is 33years.
    can you please suggest me the medicines?

  • My wife is 40 years old . After the cataract surgery we found the vision is not proper . After diagnose doctor told that is resolved CSR . Some little scars are also there and thinning of retina too . Now the vision is 6/9 with glasses. But some time blurred .. can it be cured or can we stop the further lose. How can I get touch with DR. EDWARD KONDROT. SUGGEST SOME HOMEOPATHIC MEDICINE

  • Dear Sir,
    My daughter aged 26 has been suffering from Macular Distrophy. How can I contact the doctor for Homoeopathic treatment? Please help me.
    Thank You,
    Dr. A. H. Baqui

  • Sir i have heredomacular degeneration problem iam finished B.f.sc degree nxt i want to do master but reading of book is very difficult.i gone 5/6hospital this is birth probem there is no solution in Karnataka. India at to do sir help me