Macular Degeneration

Macular Degeneration Treatment in Townsville

What is Macular Degeneration?


Age-related macular degeneration is a condition that affects the macula, the central vision part of the retina at the back of your eye. The macula is the part of your eye responsible for your central, colour and detailed vision, so its degeneration can cause significant visual problems.


Macular degeneration can affect one or both eyes and typically causes problems with your central vision. You may notice that reading and close work become difficult, and there may be blank areas, distortion or a grey or black spot in the centre of your vision.


Your peripheral or ‘side’ vision will usually remain unaffected if you suffer from macular degeneration. This means that even people with severe macular degeneration, whose central vision is badly affected, can usually still carry out daily living activities. 


Call 130eye on 07 4779 8008 to make an appointment for macular degeneration treatment with Dr Glastonbury—please note that you will require a referral from your general practitioner or optometrist. Our practice is open Monday-Friday and is located at Ross River Rd in Townsville.

Eye With Macular Degeneration — Your Ophthalmologist in Townsville, QLD
Eye Without Macular Degeneration — Your Ophthalmologist in Townsville, QLD

Information & Treatment


Dry AMD is the most common form of macular degeneration and affects around 85 to 90% of people with AMD. Vision loss is usually gradual.


Wet AMD is the more aggressive form of macular degeneration and can lead to rapid and significant loss of vision. It accounts for 10 to 15% of AMD sufferers. In wet AMD, abnormal blood vessels grow underneath the macula. These can leak fluid and blood, causing permanent damage to the retina. Symptoms of wet AMD include a reduction of central vision and also a distortion of vision which can make straight lines (such as window frames or lines of text) look bent, warped or wavy.


Macular degeneration is generally caused by aging and is more common in people aged 60 and over.


Early detection is the best way to tackle macular degeneration treatment. This can be achieved with regular eye checks, especially if you notice changes in your vision.

Intravitreal Injections


An intravitreal (into the vitreous cavity) injection is a way of delivering medications to the retina in the back of the eye. Certain medications will not reach the retina if given as eye drops or pills and therefore need to be injected directly into the eye. Intravitreal injection is a procedure typically performed when fluid has built up either in or under the retina. Common medications that are injected include Lucentis, Eylea and Dexamethasone. Your doctor will discuss with you which specific medication is recommended for your condition and why it will help your vision. 


Lucentis and Eylea are a certain class of medication called Anti-VEGF. Vascular Endothelial Growth Factor (VEGF) is a local hormone that is released in the tissues that cause blood vessels to become porous (allowing fluid to leak) or to grow new blood vessels (abnormal vessels). Both these medications are used to stop fluid/blood from leaking out of blood vessels, which is a common occurrence in both wet macular degeneration and macular oedema. In wet macular degeneration, intravitreal injections are used to prevent the growth of abnormal blood vessels under the retina. These abnormal blood vessels leak fluid and blood and are very damaging to the retinal photoreceptors.

Frequently Asked Questions

  • Why am I seeing a black spot after eye injection?

    Moving circular black spots in your vision (floaters) may be noticeable immediately following the injection and can last up to 24 hours. A small red area or haemorrhage at the site of injection is also commonly seen in the first few days after injection. This occurs as a result of a capillary being punctured and is nothing to be concerned about. It is similar to a bruise on the outside of your eye and will resolve completely over 1-2 weeks. 

  • How is the eye injection done?

    Firstly, you will have some local anaesthetic drops instilled into your eye, and then a small amount of local anaesthetic will be applied to the surface of your eye in the area your injection is to be performed. Following this, the area around your eye and the lids will be cleansed with an antiseptic solution. After allowing time for the antiseptic to dry and the anaesthetic to take effect, the doctor will inject the medication through the white part of your eye.

  • Will the injection hurt?

    In most cases, the anaesthesia eliminates the sensation of pain from the eye injection. There will be some discomfort and a feeling of pressure. Some people notice a greying or blurring of their vision for some minutes after the injection. On very rare occasions, a very quick pinching sensation may be felt.

  • What are the risks?

    The most important risk of the injection is an infection inside the eye. However, this is a very rare complication occurring in much less than 1% of injections. Other rare complications include bleeding inside the eye, cataracts, glaucoma and retinal detachment. More common side effects include irritation and a temporary increase in pressure inside the eye.

  • What would be the symptoms of an infection inside the eye?

    The symptoms of an infection inside the eye include severe eye pain that doesn’t go away, a large drop in vision and severe red eye (Mild irritation and redness on the white part of the eye are normal after the injection, especially on the first day). If you have any of these symptoms or if you are concerned, you should call your doctor the same day for further evaluation.

  • Do I need to take any special care or medication after my injection?

    Yes. Your doctor will give you an antibiotic drop to use in the injected eye, and you should take one drop two times a day for three days. You should avoid getting water in the eye for the first three days after the injection. There are no restrictions on watching TV or working on the computer after the injection.


    Post Injection Instructions: 

    • Use the antibiotic eye drop as directed 
    • Avoid swimming for 3 days
    • Call your doctor if you experience any significant pain, redness or a large drop in your vision in the injected eye.​ 
  • What to expect after your injection?

    • You may experience some eye discomfort for 1-2 days after your injection.  You can take 2 Paracetamol tablets every 4 hours to alleviate this discomfort if required.
    • You may have some generalised redness/grittiness of your eye for 1-2 days following your injection.  You can use a lubricant drop (purchased from the chemist) to help alleviate this.
    • You may have a large area of what might appear as bleeding on the white part of your eye.  This is a bleed from a blood vessel and will dissipate in a week or two. 
    • You may notice some small floaters in your vision. These will disappear in 1-2 days.
    • You may have some initial light sensitivity which should settle within the first day.
    • Use your antibiotic drops for 3 days after your injection as instructed.

    Please contact us if you are experiencing: 

    • Increasing pain / worsening pain after your injection
    • Worsening redness after your injection
    • Reduced/worsening vision after your injection 
    • Increasing light sensitivity with aches 
    • Increased floaters 
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