right large PED,
left nsd & small ped
- ped=pigment epithelial detachment
- NSD=neurosensory retinal detachment
- armd=age-related macular degeneration
- 1935 date of birth, female
- Right wet age macular degeneration (armd).
Treated with lucentis (visual
A large PED remains as below.
- Left wet armd.
The patient was being followed up as she had had Lucentis in the right eye, and did not complain of any visual disturbance in this left eye. She had developed wet age macular degeneration. This was therefore a chance finding.
The before and after treatment scans are shown below, with a fantastic response to lucentis, resulting in a normal retinal appearance. Vision 6/9 before lucentis, 6/7.5 afterwards.
She will be followed up for the next few years, with a scan approximately every month. Further lucentis will be offered if the fluid returns.
- See. The
pigment layer detaches. This is often associated with a network of blood
vessels. The recommended teatment of these is depends on certain factors.
This patient's left eye is a straightforward case...sudden loss of vision, ped/nsd, and treatment is strongly recommended.
- Large PEDs, such as that in this patient's right eye, do not respond well to treatment. A small persnetrage 'rip' when given antiVEGF treatmment.
This OCT scan shows 2 cuts through the right macula. The left photo/scan above shows the cut below the fovea and demonstrates a very large PED. The right photo/scan above shows a cut through the fovea, with nearly flat retina.
The scan of the left eye before and after Lucentis. The scan is explained in the diagram above
home Case 1: PED/CNV Case 2: hard drusen Case 3: CSR Case 4 CNV Case 5 Occult Case 6 soft drusen Case Pre-macula haem Case Bests Case 10 PDT Case 11 rip Case 12 CNV Case 13 CSR & PED Case 14 Dry/Occult Case 15 polypoidal Case 16 myopic early CNV Case 17 macula hole case 18 more fluid with oct case 19 fluid reaccumulates Case 20 peds & nsd Case 21 AOFVD Case 22 AOFVD/ERM Case 23 speckles case24 VMT case 25 epiretinal membra case 26 juvretinosschisis case 27 early classic