Early Signs of AMD: When to See a Specialist
Submitted by Michael J. Elman, M.D. on September 15, 2025
Age-related macular degeneration (AMD) is the leading cause of vision loss among older adults in the United States. Because it affects the macula (the central part of the retina that allows you to read, drive, and recognize faces), the impact on quality of life can be profound.
At Elman Retina Group in Baltimore, our board-certified retina specialists have decades of experience diagnosing and treating AMD, using advanced imaging technology to detect the earliest signs of disease. Knowing these early warning signals and seeking timely care can mean the difference between maintaining useful vision and experiencing irreversible loss.
Subtle Changes in Central Vision
In its earliest stages, AMD may not cause noticeable symptoms. Over time, you may begin to experience slightly blurred central vision or difficulty focusing on fine details. Tasks such as reading, recognizing faces, or working on a computer may feel more challenging. You may notice that colors appear less vibrant than before. It’s also possible to experience shadows or dark areas near the center of your vision.
Distortion of Straight Lines
A classic early sign of AMD is distortion, where straight edges begin to appear wavy or bent. This is most easily noticed when looking at something like a tiled floor, a door frame, or an Amsler grid. Any change in how straight lines appear should be taken seriously, as it may indicate the start of macular changes.
Difficulty in Low Light
Another warning sign is struggling to adapt to dim or changing light conditions. With AMD, you may find it harder to see in restaurants, theaters, or during nighttime driving. This reduced ability to adjust can make daily tasks more difficult and is often one of the first signs you are likely to mention to your eye doctor.
Why Timely Evaluation Matters
Since AMD often begins without obvious symptoms, annual eye exams remain the most reliable way to detect the disease early. During a comprehensive eye exam, specialists use imaging tools like optical coherence tomography (OCT) to identify subtle retinal changes long before vision loss becomes noticeable. Early detection allows for more treatment options, particularly in preventing the dry form of AMD from advancing to the more aggressive wet type.
Protect Your Vision with Trusted Expertise
Recognizing the early signs of macular degeneration and consulting a retina specialist promptly is the best way to safeguard your sight. At Elman Retina Group, our team combines extensive experience with leading-edge technology to provide personalized care for every stage of AMD.
If you’ve noticed changes in your central vision, difficulty adjusting to dim light, or distortion of straight lines, it’s time to schedule an evaluation. Contact us today in Baltimore, MD at (410) 686-3000 to take the next step toward protecting your vision.
