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

Hi,

Welcome to icliniq.com.

• 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.

1. Dry AMD
2. 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.

1. Eylea - Aflibercept (newer and expensive).
2. Lucentis - Ranibizumab (less expensive when compared to Eylea).
3. 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.

Age.

Wet AMD.

Intravitreal Anti-VEGF in the right eye.

Follow up after injections needed and OCT can be repeated after three injections.

For further information consult an eye care ophthalmologist online.---> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Dr. Asif Manzoor

Experience: 12 + Yrs

Ophthalmology (Eye Care)

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