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.

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