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84-year-old woman has polypoidal choroidal vasculopathy in both eyes with macular degeneration. She has macular scars in both eyes and she remains with remarkably good vision in the right eye despite the scarring. VISUAL ACUITY: OD 20/30, OS 1/200. IOP: OD 13, OS 16. The posterior chamber intraocular lens is in good position in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.2. There is subretinal fibrosis superior, inferior, nasal and temporal to the fovea. The fovea though is relatively spared. OS: Vertical C/D ratio is 0.2. There is an elevated disciform scar about 8 disc-diameters across, which extends outside the arcades all the way around. Photos confirm clinical findings. FLUORESCEIN ANGIOGRAPHY: Fluorescein angiography shows irregular hyperfluorescence and staining of subretinal fibrosis, which extends through the fovea. The left eye also has staining subretinal fibrosis. Neither eye has any evidence of any leakage. IMPRESSION: 1. AGE-RELATED MACULAR DEGENERATION – BOTH EYES 2. MACULAR SCARS – BOTH EYES 3. POLYPOIDAL CHOROIDAL VASCULOPATHY – BOTH EYES 4. REMARKABLY GOOD VISUAL ACUITY – RIGHT EYE DISCUSSION: I explained to the patient the maculae are both diseased with polypoidal choroidal vasculopathy and macular scarring. The vision in the right eye though remains excellent with treatment. I suggested we continue with therapy. I treated the right eye with intravitreal injection of Avastin (1.25 mg/0.05 ml) without any difficulty today. I asked her to return for a check in six weeks or sooner should she notice a problem and see you back periodically.

amdipcvod_nolo01.png
Polypoidal Choroidal Vasculopathy Right Eye - Disciform Scar Left Eye173 views84-year-old woman has polypoidal choroidal vasculopathy in both eyes with macular degeneration. She has macular scars in both eyes and she remains with remarkably good vision in the right eye despite the scarring.

VISUAL ACUITY: OD 20/30, OS 1/200

Avastin Rx OD
00000
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amdipcvod_nolo02.png
Polypoidal Choroidal Vasculopathy Right Eye - Disciform Scar Left Eye124 views84-year-old woman has polypoidal choroidal vasculopathy in both eyes with macular degeneration. She has macular scars in both eyes and she remains with remarkably good vision in the right eye despite the scarring.

VISUAL ACUITY: OD 20/30, OS 1/200

Avastin Rx OD
00000
(0 votes)
Add to Favorites
amdipcvod_nolo03.png
Polypoidal Choroidal Vasculopathy Right Eye - Disciform Scar Left Eye117 views84-year-old woman has polypoidal choroidal vasculopathy in both eyes with macular degeneration. She has macular scars in both eyes and she remains with remarkably good vision in the right eye despite the scarring.

VISUAL ACUITY: OD 20/30, OS 1/200

Avastin Rx OD
00000
(0 votes)
Add to Favorites
amdipcvod_nolo04.png
Polypoidal Choroidal Vasculopathy Right Eye - Disciform Scar Left Eye106 views84-year-old woman has polypoidal choroidal vasculopathy in both eyes with macular degeneration. She has macular scars in both eyes and she remains with remarkably good vision in the right eye despite the scarring.

VISUAL ACUITY: OD 20/30, OS 1/200

Avastin Rx OD
00000
(0 votes)
Add to Favorites
amdipcvod_nolo05.png
Polypoidal Choroidal Vasculopathy Right Eye - Disciform Scar Left Eye201 views84-year-old woman has polypoidal choroidal vasculopathy in both eyes with macular degeneration. She has macular scars in both eyes and she remains with remarkably good vision in the right eye despite the scarring.

VISUAL ACUITY: OD 20/30, OS 1/200

Avastin Rx OD
00000
(0 votes)
Add to Favorites
amdipcvod_nolo06.png
Polypoidal Choroidal Vasculopathy Right Eye - Disciform Scar Left Eye119 views84-year-old woman has polypoidal choroidal vasculopathy in both eyes with macular degeneration. She has macular scars in both eyes and she remains with remarkably good vision in the right eye despite the scarring.

VISUAL ACUITY: OD 20/30, OS 1/200

Avastin Rx OD
00000
(0 votes)
Add to Favorites
amdipcvod_nolo07.png
Polypoidal Choroidal Vasculopathy Right Eye - Disciform Scar Left Eye125 views84-year-old woman has polypoidal choroidal vasculopathy in both eyes with macular degeneration. She has macular scars in both eyes and she remains with remarkably good vision in the right eye despite the scarring.

VISUAL ACUITY: OD 20/30, OS 1/200

Avastin Rx OD
00000
(0 votes)
Add to Favorites
amdipcvod_nolo08.png
Polypoidal Choroidal Vasculopathy Right Eye - Disciform Scar Left Eye103 views84-year-old woman has polypoidal choroidal vasculopathy in both eyes with macular degeneration. She has macular scars in both eyes and she remains with remarkably good vision in the right eye despite the scarring.

VISUAL ACUITY: OD 20/30, OS 1/200

Avastin Rx OD
00000
(0 votes)
Add to Favorites
amdipcvod_nolo09.png
Polypoidal Choroidal Vasculopathy Right Eye - Disciform Scar Left Eye75 views84-year-old woman has polypoidal choroidal vasculopathy in both eyes with macular degeneration. She has macular scars in both eyes and she remains with remarkably good vision in the right eye despite the scarring.

VISUAL ACUITY: OD 20/30, OS 1/200

Avastin Rx OD
00000
(0 votes)
Add to Favorites
amdipcvod_nolo10.png
Polypoidal Choroidal Vasculopathy Right Eye - Disciform Scar Left Eye118 views84-year-old woman has polypoidal choroidal vasculopathy in both eyes with macular degeneration. She has macular scars in both eyes and she remains with remarkably good vision in the right eye despite the scarring.

VISUAL ACUITY: OD 20/30, OS 1/200

Avastin Rx OD
00000
(0 votes)
Add to Favorites
discscaros_nolo01.png
Polypoidal Choroidal Vasculopathy Right Eye - Disciform Scar Left Eye97 views84-year-old woman has polypoidal choroidal vasculopathy in both eyes with macular degeneration. She has macular scars in both eyes and she remains with remarkably good vision in the right eye despite the scarring.

VISUAL ACUITY: OD 20/30, OS 1/200

Avastin Rx OD
00000
(0 votes)
Add to Favorites
discscaros_nolo02.png
Polypoidal Choroidal Vasculopathy Right Eye - Disciform Scar Left Eye99 views84-year-old woman has polypoidal choroidal vasculopathy in both eyes with macular degeneration. She has macular scars in both eyes and she remains with remarkably good vision in the right eye despite the scarring.

VISUAL ACUITY: OD 20/30, OS 1/200

Avastin Rx OD
00000
(0 votes)
Add to Favorites
discscaros_nolo03.png
Polypoidal Choroidal Vasculopathy Right Eye - Disciform Scar Left Eye85 views84-year-old woman has polypoidal choroidal vasculopathy in both eyes with macular degeneration. She has macular scars in both eyes and she remains with remarkably good vision in the right eye despite the scarring.

VISUAL ACUITY: OD 20/30, OS 1/200

Avastin Rx OD
00000
(0 votes)
Add to Favorites
discscaros_nolo04.png
Polypoidal Choroidal Vasculopathy Right Eye - Disciform Scar Left Eye135 views84-year-old woman has polypoidal choroidal vasculopathy in both eyes with macular degeneration. She has macular scars in both eyes and she remains with remarkably good vision in the right eye despite the scarring.

VISUAL ACUITY: OD 20/30, OS 1/200

Avastin Rx OD
00000
(0 votes)
Add to Favorites
   
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84-year-old woman has polypoidal choroidal vasculopathy in both eyes with macular degeneration. She has macular scars in both eyes and she remains with remarkably good vision in the right eye despite the scarring. VISUAL ACUITY: OD 20/30, OS 1/200. IOP: OD 13, OS 16. The posterior chamber intraocular lens is in good position in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.2. There is subretinal fibrosis superior, inferior, nasal and temporal to the fovea. The fovea though is relatively spared. OS: Vertical C/D ratio is 0.2. There is an elevated disciform scar about 8 disc-diameters across, which extends outside the arcades all the way around. Photos confirm clinical findings. FLUORESCEIN ANGIOGRAPHY: Fluorescein angiography shows irregular hyperfluorescence and staining of subretinal fibrosis, which extends through the fovea. The left eye also has staining subretinal fibrosis. Neither eye has any evidence of any leakage. IMPRESSION: 1. AGE-RELATED MACULAR DEGENERATION – BOTH EYES 2. MACULAR SCARS – BOTH EYES 3. POLYPOIDAL CHOROIDAL VASCULOPATHY – BOTH EYES 4. REMARKABLY GOOD VISUAL ACUITY – RIGHT EYE DISCUSSION: I explained to the patient the maculae are both diseased with polypoidal choroidal vasculopathy and macular scarring. The vision in the right eye though remains excellent with treatment. I suggested we continue with therapy. I treated the right eye with intravitreal injection of Avastin (1.25 mg/0.05 ml) without any difficulty today. I asked her to return for a check in six weeks or sooner should she notice a problem and see you back periodically.