There is a cyst in the retina for my father. Which medicine will be suitable for him?

Hi,

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After seeing the photos (attachment removed to protect patient identity), I can see sub-RPE (retinal pigment epithelium) drusens and pigment epithelial detachment in both the eyes. There is also intraretinal cystic fluid. These findings are suggestive of wet age-related macular regeneration (Wet AMD). It is actually an aging process and outer retinal layer becomes unable to clear debris. There are two types, one is dry AMD and other is wet AMD. In wet AMD, CNV (choroidal neovascularization) or PEDs (pigment epithelial detachments) developed and for which injections called anti-VEGF (anti vascular endothelial growth factor) are injected into the eye. Mostly, three types of injections are available with names as follows. Eylea - Aflibercept (newer and expensive). Lucentis - Ranibizumab (less expensive when compared to Eylea). Avastin - Bevacizumab (cheapest). They are all effective with a small difference. But, the economic factor is important because everybody cannot afford Eylea injection. There may be a need of many injections, according to the response, either monthly or twice a month. So, I think that intravitreal injection is needed in right eye as fluid is seen on OCT (optical coherence tomography). You can discuss with your doctor about the injection according to your affordability. Other things that can help are quit smoking (if he is a smoker), control hypertension and cholesterol level, use green vegetables and nutrient supplements like tablet Xanthine or Vision plus (multivitamin) once daily. Remember, the visual outcome is never guaranteed and we cannot predict the number of injections needed for the treatment.