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Ophthalmology Retina 8bdee4be

What will be the best treatment for the below patient?

A
Laser photocoagulation
B
Three monthly injections of Ranibizumab
C
Photodynamic therapy
D
Observation and follow-up
High-Yield Explanation
Ans. (b) Three monthly injections of RanibizumabOption a - LP is done for extrafoveal lesions, rarely done now a days.Option b - Anti-VEGF drugs are the mainstay of treatment for Wet ARMD as has been seen in many trials such as MARINA, ANCHOR, Pronto trial etcOption c - PDT can be done, but used only ifPurely occult CNVPredominantly classical CNV, subfoveal, not larger than 5400 microns and a visual acuity of 6/60 or better.Option d - Wet ARMD needs to be treated. Observation may be done in cases of Dry ARMD.

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