other types of wet ARMD and relevant pages

• 'Wet' ARMD..general details/all types

Each type alone

• Fibrovascular Pigment Epithelial Detachment:
  occult type 1   (this page)
• Type 2 Occult CNV  
• Classic CNV  
• Polypoidal choroidal vasculopathy
  

In a few unlucky people, the dry macular degeneration turns into this type. Occasionally, there may have been no obvious 'dry' changes visible before this develops.

In this type the damaged area looks like a dome. Fluid leaks under the retina, hence the term 'wet'.

Laser has been tried in this condition but is not helpful. Without the anti-VEGF drugs the condition tends to progress and central vision becomes very poor.

Treatment (Lucentis, Avastin) often helps but is not always effective.

Occasionally these drugs can cause the retina to 'rip', causing more loss of sight.

See a case . There are 3 types of PED, reviewed here (avascular, occult, polypoidal), and here with OCT a photo.

Generally ARMD with a PED is classified as 'occult' CNV, type 1.

There is another type of PED without any vascular element. In younger patients this is usually part of Central  Serous Retinopathy.

a PED..pigment epithelial detachment type of wet ARMD, occult type 1

photo    another   case 9 r/l left