Grand Rounds
A patient presented with decrease in vision in the left eye for 3 days. Her visual acuity was 20/40 in the right eye and 20/200 in the left eye. Examination revealed drusen in the right eye and large pigment epithelial detachment, pigment mottling, drusen, focal intraretinal hemorrhage and intraretinal fluid in the left macula. Optical coherence tomography of the macula showed the presence of drusen in the right eye and pigment epithelial detachment, intraretinal deposits, subretinal and intraretinal fluid in the left macula. On Optical coherence tomography angiography of the left eye macular neovascularization was noted in the deep retina. She was treated with three monthly intravitreal aflibercept injections in the left eye. After three injections the subretinal and intraretinal fluid resolved and pigment epithelial detachment height reduced.
Presentation Date: 10/20/2022
Issue Date: 12/09/2022
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