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72 year old woman prior to this year her vision was pretty good. She was using the drug store glasses for a while. She is using the highest strength for reading. This year she notices that her vision is worse. She can see everything around her but cannot see street signs. She always felt that one eye was better than the other. She thought the right was better than the left. It is difficult to tell. Her last eye check was a long time ago when she got her license renewed. She was told then to see an eye doctor. That was about 8 years ago. VA 20/80 OD 20/50 OS. She has many macular drusen in both eyes. The left eye has macular edema. The FA shows diffuse leakage of the macular and nerve suggesting inflammatory macular edema. The ICG shows no plaque suggesting dry AMD. She responded to subtenon's kenalog. This is an excellent example of why fluorescein angiography is essential in managing wet macular degeneration. This patient would have been treated with years of anti-VEGF agents were it not for the FA and ICG showing that she did not have wet AMD.

amdcme_maja_020216_03.jpg
Macular Edema and dry AMD - excellent example of why FA and ICG are necessary in management of wet AMD41 viewsThis 72 year old woman has an OCT that looks like wet AMD. Only her FA and ICG show that she has inflammatory macular edema. She had no clinical signs or symptoms of uveitis. Nevertheless, the macular edema responded to subtenon's kenalog.00000
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amdcme_maja_020216_04.jpg
Macular Edema and dry AMD - excellent example of why FA and ICG are necessary in management of wet AMD30 viewsThis 72 year old woman has an OCT that looks like wet AMD. Only her FA and ICG show that she has inflammatory macular edema. She had no clinical signs or symptoms of uveitis. Nevertheless, the macular edema responded to subtenon's kenalog.00000
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amdcme_maja_020216_07.jpg
Macular Edema and dry AMD - excellent example of why FA and ICG are necessary in management of wet AMD50 viewsThis 72 year old woman has an OCT that looks like wet AMD. Only her FA and ICG show that she has inflammatory macular edema. She had no clinical signs or symptoms of uveitis. Nevertheless, the macular edema responded to subtenon's kenalog.00000
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amdcme_maja_020216_10.jpg
Macular Edema and dry AMD - excellent example of why FA and ICG are necessary in management of wet AMD43 viewsThis 72 year old woman has an OCT that looks like wet AMD. Only her FA and ICG show that she has inflammatory macular edema. She had no clinical signs or symptoms of uveitis. Nevertheless, the macular edema responded to subtenon's kenalog.00000
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amdcme_maja_020216_12.jpg
Macular Edema and dry AMD - excellent example of why FA and ICG are necessary in management of wet AMD24 viewsThis 72 year old woman has an OCT that looks like wet AMD. Only her FA and ICG show that she has inflammatory macular edema. She had no clinical signs or symptoms of uveitis. Nevertheless, the macular edema responded to subtenon's kenalog.00000
(0 votes)
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amdcme_maja_020216_15.jpg
Macular Edema and dry AMD - excellent example of why FA and ICG are necessary in management of wet AMD59 viewsThis 72 year old woman has an OCT that looks like wet AMD. Only her FA and ICG show that she has inflammatory macular edema. She had no clinical signs or symptoms of uveitis. Nevertheless, the macular edema responded to subtenon's kenalog.00000
(0 votes)
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amdcme_maja_020216_18.jpg
Macular Edema and dry AMD - excellent example of why FA and ICG are necessary in management of wet AMD57 viewsThis 72 year old woman has an OCT that looks like wet AMD. Only her FA and ICG show that she has inflammatory macular edema. She had no clinical signs or symptoms of uveitis. Nevertheless, the macular edema responded to subtenon's kenalog.00000
(0 votes)
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amdcme_maja_020216_21.jpg
Macular Edema and dry AMD - excellent example of why FA and ICG are necessary in management of wet AMD52 viewsThis 72 year old woman has an OCT that looks like wet AMD. Only her FA and ICG show that she has inflammatory macular edema. She had no clinical signs or symptoms of uveitis. Nevertheless, the macular edema responded to subtenon's kenalog.00000
(0 votes)
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amdcme_maja_020216_24.jpg
Macular Edema and dry AMD - excellent example of why FA and ICG are necessary in management of wet AMD64 viewsThis 72 year old woman has an OCT that looks like wet AMD. Only her FA and ICG show that she has inflammatory macular edema. She had no clinical signs or symptoms of uveitis. Nevertheless, the macular edema responded to subtenon's kenalog.00000
(0 votes)
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amdcme_maja_020216_25.jpg
Macular Edema and dry AMD - excellent example of why FA and ICG are necessary in management of wet AMD57 viewsThis 72 year old woman has an OCT that looks like wet AMD. Only her FA and ICG show that she has inflammatory macular edema. She had no clinical signs or symptoms of uveitis. Nevertheless, the macular edema responded to subtenon's kenalog.00000
(0 votes)
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amdcme_maja_030116_35.JPG
Macular Edema and dry AMD - excellent example of why FA and ICG are necessary in management of wet AMD62 viewsThis 72 year old woman has an OCT that looks like wet AMD. Only her FA and ICG show that she has inflammatory macular edema. She had no clinical signs or symptoms of uveitis. Nevertheless, the macular edema responded to subtenon's kenalog.00000
(0 votes)
Add to Favorites
 
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72 year old woman prior to this year her vision was pretty good. She was using the drug store glasses for a while. She is using the highest strength for reading. This year she notices that her vision is worse. She can see everything around her but cannot see street signs. She always felt that one eye was better than the other. She thought the right was better than the left. It is difficult to tell. Her last eye check was a long time ago when she got her license renewed. She was told then to see an eye doctor. That was about 8 years ago. VA 20/80 OD 20/50 OS. She has many macular drusen in both eyes. The left eye has macular edema. The FA shows diffuse leakage of the macular and nerve suggesting inflammatory macular edema. The ICG shows no plaque suggesting dry AMD. She responded to subtenon's kenalog. This is an excellent example of why fluorescein angiography is essential in managing wet macular degeneration. This patient would have been treated with years of anti-VEGF agents were it not for the FA and ICG showing that she did not have wet AMD.