Dame Judi Dench is bringing a powerful, personal face to the reality of living with a progressive eye disease. The legendary actress, 90, has opened up about her life with age-related macular degeneration (AMD), a condition that has forced her to step away from her celebrated acting career. Her experience offers a window into the daily challenges faced by millions living with similar diagnoses.

Dench, diagnosed in 2012, has seen her eyesight deteriorate to the point where it fundamentally changes her daily life. She recently revealed she can no longer read, watch television, or even recognize the faces of friends and colleagues. In a moving moment with actor Ian McKellen, she explained she could only perceive his outline and the color of his scarf. This loss of central vision is a hallmark of AMD, which affects the macula—the part of the retina responsible for sharp, straight-ahead sight.

The condition has also impacted her independence. She has shared that she now requires constant companionship when leaving her home, stating, “Somebody will always be with me… because I can’t see and I will walk into something or fall over.” This loss of autonomy is a common and difficult adjustment for those with advancing AMD. While the disease is the leading cause of permanent vision loss in people over 50, Dench’s platform is helping to shed light on its profound personal and practical consequences, moving the conversation beyond just the medical facts.