This document describes the case of a 66-year-old male who presented with decreased vision in his right eye over the past week. He had a history of pseudophakia, high myopia, and cataract surgery in his right eye 5 years ago. Examination revealed a myopic choroidal neovascularization in his right eye, for which he received an intravitreal injection of ranibizumab. His vision improved to 6/36 after treatment and remained stable at subsequent follow-up visits.

1. Aditya Sudhalkar
23-11-2014
Sudhalkar Eye Hospital and Retina Centre, Baroda

2.  66 year old male
 K/C/O pseudophakia and high myopia OU
 Operated for cataract(OD) 5 years ago
 Monocular

3.  Sudden onset DOV OD since one week
 Last recorded CDVA(2012): OD 6/12, N6
 No systemic co-morbidities
 No h/o trauma or recent surgery

4.  OD CDVA: 6/60. Near Vision: N36
 A/S: OD: Pseudophakia
OS: Keratopathy, opaque cornea
 Posterior Segment: As shown

8.  OD Myopic CNVM
 OD Intravitreal Ranibizumab
 Post operative topical antibiotics for a week
 Review 1/12

9.  CDVA: 6/36; N12
 A/S: Status quo
 P/S:

12.  CDVA: 6/18p; N8
 A/S: Status quo
 P/S:

15.  CDVA: 6/18p; N8
 A/S: Status quo
 P/S:

18.  Near vision an important parameter
 Patient’s symptoms important in guiding
treatment
 FFA and OCT
 Patients often one eyed
 Good response to therapy