Showing posts with label submacular lesion. Show all posts
Showing posts with label submacular lesion. Show all posts

Sunday, 29 March 2009

Odd submacular lesion with fibrosis

This right eye was initially treated with a haemorrhagic PED in early 2007, presenting with a vision of 6/24. Three Avastin injections were given at 6 weekly intervals, and things settled nicely with vision varying between 6/18 and 6/12 on subsequent visits. The last injection was September 2007.

Things remained stable till Feb 09, when she came back with a new complain of seeing a 'blob' in her central vision in her right eye.
Vision was still 6/18
Ant Seg - unremarkable, no cells in her vitreous.
This is her colour fundus photo:

Red Free pictures

She has a clear history of Flourescien allergy, so we couldn't do one.
IR photo:


Her early ICG is shown


Late ICG

Early ICG movie
Mid-phase ICG movie

Late ICG movie

Other eye had PDT some years ago for a fibrovascular PED and settled to a vision of 6/36, been stable for 5+ years.

Any idea about diagnosis? Management?