From the reports, can you tell me if I have ARMD or CSR?

Hello,

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It is very difficult to comment without examining your retina or your scans. As you mentioned there was blood at the fovea, this is suggestive of wet ARMD (age-related macular degeneration) rather than CSR (central serous retinopathy). Moreover, injection is advised for ARMD and not for CSR. Having said that, it is a provisional diagnosis. Kindly share your scan reports, so that I can guide you better. Regards.

Hello,

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I reviewed your reports (attachment removed to protect patient identity) with great patience. I agree with your treating ophthalmologist that this is indeed a confusing clinical situation. I discussed your reports and clinical symptoms with my retina colleagues also, and we all had the following conclusion. To us, all though there was a dilemma between wet ARMD and CSR, the diagnosis tilted towards wet ARMD because of the following reason, one is the presence of blood drop at fovea is very significant, as I discussed earlier also and other is OCT (optical coherence tomography) findings are again very confusing and do not pin point towards a particular diagnosis. FFA (fundus fluorescein angiography) would have been useful, but you shared only one frame of FFA. I would request you to share all frames of FFA as a single frame does not give clear information. We will review the reports and will guide you through.Regards.