ARMD with CNVM
. a) Grey-Green Elevation Above The Fovea, (b) FA Arterial Phase Showing 'Lacy Hyperfluorescence', (c) FA Venous Phase Showing Increasing Hyperfluorescence, (d) FA Late Phase Showing Persisten t Hyperfluorescence
Evaluating AMD through a cataractous lens can be challenging as subtle signs of CNVM
or geographic atrophy may be obscured.
Anti-VEGF agents including intravitreal bevacizumab (Avastin) and ranibizumab are used to treat subfoveal CNVM
associated with age-related macular degeneration [12, 13].
Fundus Fluorescein Angiography (FFA) in OD revealed features of classic CNVM
with a scarred component (Figures 1(b) and 1(c)).
Describing the normal range of this index is very important in the choice of formula used for intra ocular lens (IOL) calculation in cataract patients, determining the refractive status of people and subsequently in the risk of complications like staphyloma, risk of retinal detachment, CNVM
, and various types of glaucoma (open and closed angle glaucoma).
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PED can occur in several macular disorders but is mostly commonly seen with advanced AMD where it indicates that the CNVM
may have penetrated through Bruch's membrane into the space below the RPE bringing fluid or blood with it.
Like MFC, CNVM
may develop and contribute to vision loss (Figure 5).
[19.] Derriman L, Marshall J, Moorman C & Downes SM (2008): The use of intravitreal bevacizumab to treat choroidal neovascular membranes (CNVMs
The main causes of decreased VA are the direct involvement of fovea, optic disc or papilla-macular bundle, macular traction by ERM and subretinal and intraretinal exudation from the vessels inside the lesion.7 None of our cases had exudative retinal detachment and CNVM
while 13% of cases had serous effusion and 6% of cases had CNVM
in Shields et al.
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