UNIVERSITY OPHTHALMOLOGY CONSULTANTS
 

CASE OF THE MONTH

CASE #3

 

FIGURE 2: PATHOLOGY OS
5 YEARS LATER
 
  RED-FREE PHOTOGRAPHY     FLUORESCEIN ANGIOGRAPHY     FLUORESCEIN ANGIOGRAPHY  
  Fundus photography OS     FA OS     FA OS  
                 
What is the cause of decreased vision OS?
 
The fundus examination was significant for bilateral papilledema with moderate optic nerve pallor OS (Figure 2A). In addition, a 1 disc diameter subretinal CNV with subfoveal extension and associated exudative retinal detachment was present in the left eye. The overlying retina showed prominent parafoveal cysts. The FA disclosed early hyperfluorescence of the scar with window defects temporally where there was RPE atrophy (Figure 2B-C).
How would you treat the patient at this point?
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