I haven't had any issues with
macular degeneration, though I did once experience some vision problems with diabetes, years ago, so I can sympathize with those having such vision problems. I tried just about everything to adapt to my ever changing vision caused by diabetes, including
magnifiers, reading glasses and so on. Hand-free magnifiers, such as the
B&L Hnads-Free, helped for reading and needlepoint, as did reading glasses, but neither helped much when looking at a computer screen or across the room, since magnifiers have such short working distances. For more distance work, I did get some relief with compact
binoculars that had a good close focus. The
Pentax Papilo 6.5x binocular, with it's super close focus of only 1.6 feet would be a great choice in this regard and it has eneough eye relief to also be used with glasses.