Dr.RUBBLE MANGLA

Dr. RAMESH VENKATESH, DR. NARESH KUMAR YADAV, DR. ROHINI SANGORAM

Abstract

Purpose: To evaluate anatomic & functional outcomes of arch-shaped subretinal fluid (SRF) in wet AMD.

Methods: This study analysed patients with wAMD and arch-shaped SRF, treated with different antivegf agents. Anatomical & functional outcomes were assessed.

Results: 28 eyes of 22 patients with arch-shaped SRF were included. SRF was characterized by the presence of adhesion areas between the sensory retina and a fibrous complex developed from the CNVM. In 15 eyes, CNVM was classic and fibrotic evolution was observed. Serous retinal detachments were compartmentalized in 14 eyes. Visual acuity decreased from 49.9 ± 19.2 letters to 40.3 ± 18.6 letters, corresponding to a mean change of −9.6 letters.

Conclusion: This study describes the specific morphologic features of arch-shaped SRF in wAMD. Eyes with arch-shaped SRF show favourable response to intravitreal antivegf injections with unfavourable visual prognosis. Arch-shaped SRF suggests a predominant fibrotic type of CNVM.

Full Text