September 2017 Image of the Month

Image of the Month, a recurring feature in Retinal Physician since 2006, spotlights diagnostic images captured by industry practitioners using innovative technology and diagnostic instruments.

Imaging Neovascular AMD with Topcon Swept Source OCT-A Technology



87-year-old female with decreased but stable vision in left eye with intermittent distortion. Diagnosed with neovascular AMD OS three years prior to this image taken. Underwent multiple monthly evaluations with Avastin injections PRN.

"Now, three years later, OCT images suggest no evidence of inter or sub-retinal fluid, no subretinal hemorrhage seen on ophthalmic examination. Images A and B show areas of parafoveal atrophy. In Image C, the OCT-Angiography reveals a large subretinal neovascular membrane. Given the OCT-A finding, is anti-VEGF therapy necessary at this visit?"

-Dante Pieramici, MD

*Not available for sale in the US

Images were obtained from the Dexamethasone Intravitreal Implant (0.7mg) for the Treatment of Persistent Diabetic Macular Edema Following Intravitreal Anti-Vascular Endothelial Growth Factor Therapy Study. The opinions, ideas, views and assumptions expressed are the author’s own and do not necessarily represent the views of Topcon, or do they constitute advice from Topcon.

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