Authors: Eliana-Ruobing Zhang BSc and Catherine Lê BSc. McGill University School of Medicine
An 81-year-old male presents with a progressive decline in visual acuity in both eyes over the past 18 months. The patient has a known history of neovascular age-related macular degeneration (nAMD) in both eyes and has been undergoing intravitreal anti-VEGF (bevacizumab) injections every 7-8 weeks for the past 3 years.
On examination, uncorrected visual acuity is 20/200 in each eye, with no improvement upon pinhole testing. Slit-lamp examination reveals clear corneas, normal anterior chambers, and bilateral 1+ cortical cataracts. Fundus examination demonstrates a cup-to-disc ratio of 0.3 with evidence of mild neovascular fibrosis in both eyes.
This is an interesting case, i truly learn from it. Thank you.
Interesting case
Quite elaborate explanation, thank you
Nice
Very useful.
Almost mistaken for a intra retinal cyst
thanks for this interesting case
Thank you for an informative Quiz. Nice way to educate.
Wet armd
Excellent
INTERESTING!
Thanks.
Thank you for the insight.
Thanks!
Nice help full knowledge
Well explained this is wonderful keep on posting!!🥰
very detailed explanation
Very educative. Thank you.
Thanks
Amazing !!
Excellent teaching.
Thanks interesting OCT
Very interesting. Thanks
Good one
I have learned a new thing, thank you very much.
A good explanation of D/D of hypo and hyper reflective changes in retinal layers
Thanks good quiz
interesting
Good one
Nice
Nice quizz
Interesting. Thanks
Thank you so much
Good case thank you
Very informative case history
I have learned a new thing, thanks for the education.
Good the informative
Very usefull quiz.
Absolutely useful. I am forwarding the quiz to 7 more colleagues
Great idea, Yomi! If anyone wants to receive these quizzes automatically by email, they can create a free Cybersight account here and they’ll be added to the quiz distribution list: https://consult.cybersight.org/web/guest/create-account
Very educative
Learned something new today
Excellent
Thank you
A very nice constructed question with a great added piece of info. thank you
Thanks for the information
Very helpful case especially for someone like me, still learning OCT interpretation, as each sign is worth noting!
Thank you.
I appreciated the quiz that you share through email
Good
Good case. Though this oct not showing typical ORT in which there is distinct hyporeflective center.
Good case thank you
Thank you so much
در بیماری های مزمن مانند amd به نظر میرسد که
ناشی از اتروفی اپتلیوم رنگدانه شبکه RPE بوده نیاز به تداوی ندارد .
Excellent photography and nice description regarding all changes in nAMD
It nice to know for additional learning. Thank you.
Very educative and helpful contents to let one in touch of clinical aspects kf ophthalmology