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Good Hope Hospital Eye Clinic

Case 18 wet armd....patient unable to attend for lucentis

Patient, age 90, female had 3 lucentis injections for wet neovascular armd, with  a good response, shown by the OCT (2) and photo above the OCT. She was unable to attend for follow up for 6 months, and the condition deteriorated.

This weeks photo, with a haemorrhage (black arrow), and obvious intraretinal oedema, probably with a neurosensory retinal detachment (1). Further lucentis has been arranged.

This compares with the post lucentis treatment 6 months previously, with a flat retina (2), and blue line for retinal thickness. Note the increased oedema (black curly arrow, green is today's thickness, blue is retinal thickness at the previous visit).

wet armd gets may get worse without treatment

The straight arrow points to  a small haemorrhage.

Figure '1' points to a foveal cyst, together with intraretinal fluid

This scan was taken 6 months after the scan on the right.

A normal scan. The '2' indicates the healthy foveal contour (a slight dip). This scan was taken after a course of lucentis, which had been very effective. 6 months after the scan on the right was taken. 

The green line indicates the retinal contour for the scan on the extreme left.

The blue line and curly arrow indicate the retinal contour on the immediate left.

 

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 membrane

 

 

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