Macular Degeneration

Case 8-33 continued

Follow-up Examination

One month later, the patients visual acuity in the left eye had declined to 20/160. Ophthalmoscopy (D) showed that the central macular lesion had increased in size, À corresponding well-defined region of hyperfluorescence was evident on fluorescein angiography (E). The lesion demonstrated progressive dye leakage consistent with neovascularization.

Follow-up Optical Coherence Tomography

À follow-up OCT tomogram (F) exhibited enlargement of the focal thickening in the reflection corresponding to the pigment epithelium and choriocapillaris. A slight increase in the central macular edema was noted/ and a new region of subretinal fluid accumulation was identified superior to the fovea.

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