Macular Degeneration

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Case 8-8. Disciform

Ctinicai Summary

A 82-year-old woman with age-related macular degeneration had received macular laser photocoagulation in her left eye for choroidal neovascularization 15 months

■m earlier Her visual acuity in this eve was 20/200. Slit-lamp examination (A) showed the atrophic laser scar inferotemporal to the fovea, with nosubretinal fluid, hemorrhage, or exudate.

Optical Coherence Tomography

The laser scar was clearly demarcated as a region of enhanced backscatter, consistent with chorioretinal fibrosis (B). The neurosensory retina was atrophic in the fovea and the minimally reflective band corresponding to the photoreceptor layer was absent.

Macular Fovea

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