87 year old female She is noticing increasing difficulty reading. S he has not checked both eyes until recently. Recently she noticed a big defect in the central vision in the left eye. Her daughter is an ophthalmologist. Medical Hx: Osteoporosis. Surgical Hx: Hysterectomy. Systemic Meds: Aspirin 81 mg. Vitamin D. Calcium. VA OD: Dcc20/32+2 OS: Dcc20/125+1 TP: OD:16 OS:15 After 1/4 dose vabysmo - developed RPE tear with mild vision loss to 20/400