Good Hope Eye Department

Good Hope Hospital Eye Clinic
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Occult type 2 (no PED) wet ARMD
David Kinshuck & Monique Hope-Ross


other types of wet ARMD and relevant pages

Each type alone

'Low vision' section,
support  

RNIB page (link)
Hints & Coping
Macula degeneration: pathology
dry ARMD
wet ARMD

Lucentis treatment program
myopic macula degeneration

Macula degeneration: understanding
Risk simulation
Diabetic maculopathy (link)
Coping with poor sight in one eye
Magnification

Low Vision Assessment
Rehabilitation & local services
Birmingham Focus (link)
PDT program
Low vision Gateway (US site)

Walsall Eyes Newsletter
Macular Disease Society
New drugs..Lucentis, Macugen, Avastin  
A table comparing drugs
Studies published and in progress

Audio interview (NEJM)
Rehabilitation Centre
rnib.talkandsupport

Links
Abbreviations

education

Large diagram 1
Large diagram 2
Animation full size
Lucentis animation

Animation (link)
Case 1 macula for students: 400kb
Case 2 macula: hard drusen
Case CSR
Case 4: wet macular degn (CCNV)
Case 5: occult CNV
Case 6 soft drusen
Atlas...Bests, Haem
SWF file for laptops of light/macular animation: 1mb
epidemiology
US Aging Times Review

Genes
treatment advances
dry ARMD (link)


‘Occult’ CNV type 2 (no 'PED')

In this type of ARMD, there are new blood vessels, but they are not clearly seen with the angiogram. ‘Occult’ CNV is the term given to a specific ‘blotchy’ appearance of the angiogram. Occult ARMD is probably an early phase of classic, see .
Regular laser is not effective, but even with PDT  laser 50% of eyes lose some sight. New anti-VEGF drugs such as Lucentis and Avastin are likely to be the best option, perhaps in addtion to PDT. Results appear excellent for this type of ARMD.
Occult and classic patterns can occur together. If the percentage of ‘classic’ is high, PDT helps (early results).

The symptoms of this type of CNV are the same as 'classic CNV' . This type 2 occult CNV usually turns into classic CNV over the next months or years, to cause poor central vision.



----------------------Eye pages website feedback -----this page edited October 2008----------------------