A 74 year old male complained of distortion in the central visual field of his right eye. His past medical history was significant for hypertension and he underwent periodic ocular examination as a follow up for his cataract.
Best corrected visual Acuity was 6/8.5 in each eye. Anterior segment examination was significant for +3 nuclear sclerosis and in the retina of the right eye there was a localized lesion of subretinal fluid. |
Fluorescein angiography identified a focal hyperfluorescent lesion with a gradually leak, consistent with choroidal neovascular membrane. |
Screen view illustrates thickening of the retina superior to the fovea (Yellow arrow). The RPE reflex is thicker in contrast to a normal though deviated reflex in PED. The shadowing in the right slit (red arrow) is caused by the blood filled tuft of choroidal neovascularization. |
Screen view of the same eye displays focal retinal thickness measurement of 305 microns. |
Screen view of the same eye 3 months following photodynamic therapy. The retinal thickness is still apparent, however the fullness behind the RPE is homogenous and the shadowing of caused by the choroidal neovascularization has disappeared. |
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Thickness Map of the same patient.
Visit 1: Thickening centered supero-nasal to the fovea that involves the fovea. |
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Thickness Map of the same patient.
Visit 2: One month following photodynamic treatment disclosing slight resolution. |
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Thickness Map of the same patient.
Visit 3: Three months following photodynamic therapy the retina is thicker than on presentation. The patient is referred to his second PDT session. |
