[Repeat laser coagulation of subretinal neovascularization in age-related macular degeneration].

Abstract

INTRODUCTION:

Retinal laser coagulation (LC) of extrafoveal subretinal neovascularization (SRN) due to age-related macular degeneration (AMD) is the only sure therapy. Diagnostics, therapy and follow-up are presented in a case report.

CASE REPORT:

A 55-year-old woman had suffered from progressive reduction of visual acuity (with metamorphopsia) in both eyes (LE > RE) for 3 years. In the RE the visual acuity was 0.32 and in the LE 0.05. Funduscopy and fluorescein angiography revealed in both eyes the wet form of AMD. The extrafovealy located SRN of the RE was photocoagulated and had to be retreated three-times in 6 weeks due to persistence. For 8 months the findings in the RE have been stable. VA has been improved to 0.4 and no metamorphopsia has been found.

CONCLUSION:

Extrafoveal SRN should be treated by LC. Short-term follow-up (including FA) and in most cases several LCs are necessary to close the SRN and save the patients' reading vision.

• Authors: R Krott, G Rössler, K Heimann
• Journal: Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft (Ophthalmologe) Vol. 96 Issue 10 Pg. 668-72 (Oct 1999) ISSN: 0941-293X [Print] Germany
• Vernacular Title: Mehrfache Laserkoagulation einer subretinalen Neovaskularisation bei altersabhängiger Makuladegeneration.
• PMID: 10552161 (Publication Type: Case Reports, Comparative Study, English Abstract, Journal Article)

Topics

• Female
• Fluorescein Angiography
• Follow-Up Studies
• Fundus Oculi
• Humans
• Laser Coagulation
• Macular Degeneration (diagnosis, surgery)
• Middle Aged
• Reoperation
• Retinal Neovascularization (diagnosis, surgery)
• Time Factors