What will be the best treatment for the below patient?
Ans. (b) Three monthly injections of RanibizumabOption a - LP is done for extrafoveal lesions, rarely done now a days.Option b - Anti-VEGF drugs are the mainstay of treatment for Wet ARMD as has been seen in many trials such as MARINA, ANCHOR, Pronto trial etcOption c - PDT can be done, but used only ifPurely occult CNVPredominantly classical CNV, subfoveal, not larger than 5400 microns and a visual acuity of 6/60 or better.Option d - Wet ARMD needs to be treated. Observation may be done in cases of Dry ARMD.
Laser photocoagulation
Three monthly injections of Ranibizumab
Photodynamic therapy
Observation and follow-up
Retina