The document discusses how different eye diseases affect vision. Macular diseases like age-related macular degeneration (AMD) affect central vision by distorting or damaging the macula. In neovascular or "wet" AMD, abnormal blood vessels leak fluid into the macula or bleed into it, which can cause blurred or lost central vision. Glaucoma initially impacts peripheral vision and as it advances can cause tunnel vision and blindness by damaging the optic nerve. Cataracts also worsen vision over time as they grow more opaque in the lens.