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Good Hope Hospital Eye Clinic

Case 20 wet armd: right large PED & left nsd/small ped

Abbreviations

History

1935 date of birth, female
2009

Right wet age macular degeneration (armd).
Treated with lucentis (visual outcome 6/36). A large PED remains as below.

2010

Left wet armd.
The patient was being followed up as she had had Lucentis in the right eye, and did not complain of any visual disturbance in this left eye. She had developed wet age macular degeneration. This was therefore a chance finding.
The before and after treatment scans are shown below, with a fantastic response to lucentis, resulting in  a normal retinal appearance. Vision 6/9 before lucentis, 6/7.5 afterwards.
She will be followed up for the next few years, with a scan approximately every month. Further lucentis will be offered if the fluid returns.

 

PEDs

See. The pigment layer detaches. This is often associated with a network of blood vessels. The recommended teatment of these is depends on certain factors.
This patient's left eye is a straightforward case...sudden loss of vision, ped/nsd, and treatment is strongly recommended.

Large PEDs, such as that in this patient's right eye, do not respond well to treatment.

 

Right eye

a large PED (pigment epithelial detachment

This OCT scan shows 2 cuts through the right macula. The left photo/scan above shows the cut below the fovea and demonstrates a very large PED. The right photo/scan above shows a cut through the fovea, with nearly flat retina.

 

Left eye

wet macular degeneration with a combined  NSD (neurosensory detachment) and PED (pigment epithelial detachment, a very common appearance

a diagram showing wet armd with a ped and nsd

The scan of the left eye before and after Lucentis. The scan is explained in the diagram above
 

 

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

 

 

The address of this site ('org' changing to 'nhs') is changing from http://www.goodhope.org.uk/departments/eyedept/ to http://www.goodhope.nhs.uk/departments/eyedept/
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