UNIVERSITY OPHTHALMOLOGY CONSULTANTS

 

CASE OF THE MONTH

CASE #3

 

Subfoveal CNV EXCISION

 

The patient was offered the option of observation or surgical excision of the CNV. The patient elected to undergo CNV excision to stabilize the vision in the left eye, recognizing that visual recovery would be limited by the chronicity of the disease.
 
 

Fluorescein angiography OSVITRECTOMY: The CNV was excised via a conventional 3-port vitrectomy with subretinal dissection. The posterior two thirds of the vitreous gel including the posterior vitreous cortex was excised. The preoperative FA (Figure 2C) was projected in the operating room to guide the subretinal dissection. There was a substantial exudative retinal detachment and prominent cystic change not just in the parafoveal area, but even outside the foveal avascular zone. The retina was puckered in an area of foveal adherence to the underlying scar. The subretinal fibrosis extended from the temporal margin of the optic nerve to the fovea.

  Figure 2C: Preoperative FA
   
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