Dr.Swyambhu Prosad Ghosh, G18582
A 67 year old female presented with diminution of vision in left eye with grade 2 nuclear sclerosis, large full thickness macular hole with no age related macular degeneration changes and best corrected visual acuity of 2/60. She underwent left eye phacoemulsification with 25 gauge vitrectomy, brilliant blue green dye assisted internal limiting membrane peeling, inverted tuck technique and 20% sulphur hexafluoride gas. At 1 month, Swept Source-Optical Coherence Tomography showed type 1 macular hole closure with BCVA of 6/24. After 3months she presented with diminished vision in left eye and BCVA2/60. Fundus examination ,SS-OCT and fundus fluorescein angiography confirmed subfoveal CNVM. She received 0.05 ml (0.5 mg) of intravitreal ranibizumab. After 1 month SS-OCT showed persistence of intraretinal edema and was treated with 2 combined intravitreal ranibizumab (0.5 mg) and triamcinoloneacetonide(4 mg) injections, 1 month apart. At 6 months, her BCVA was 6/60 with no CNVM recurrence.
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