Patient is diabetic and has blurring in the midpoint of the eye. Can you guide me?

Hello,

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I have gone through the blood reports and the eye reports (attachment removed to protect the patient's identity). The blood reports are satisfactory except that PPBS (post-prandial blood sugar) seems a bit high. That needs to be controlled. The eye reports document the reason he sees less with his right eye. He is suffering from age-related degeneration of the central part of the retina called the macula. The clinical term is ARMD (age-related macular degeneration) and, more specifically, choroidal neovascularisation (CNV) with bleeding under the retina. The condition is active CNV. I am sure the retina specialist would have clearly explained the situation. The subsequent best management would be to inject a highly expensive anti-VEGF (vascular endothelial growth factor) intravitreal injection in the right eye. There are many options, but injection Accentrix (Ranibizumab) or injection Lucentis solution (Ranibizumab) is the best. Injection Eylea (Aflibercept) and injection Pagenax (Brolucizumab) are also equally good. Injection Razumab (Ranibizumab) and injection Avastin (Bevacizumab) are the less costly injections, but all have shown more or less similar efficacy. Also, it would be best if you kept in mind more than one injection are needed in almost all cases. Results are good, but you should not expect 100% visual results.The left eye seems good though a multivitamin capsules like capsule I-Site or capsule Retinox once daily for two months will be helpful to prevent further progression. I hope I have answered your queries. Do the treatment as soon as possible for the best results. Regards.