Monthly Archives: May 2020

Pathological Myopia: Mini to Maxi Bulge – Page 18 of 19

Jerome Sherman, O.D., is perhaps optometry's most prolific writer, publishing over 650 clinical articles, research manuscripts, book chapters and two CDs. He is senior author of three books that were published in 2007, and has delivered over three thousand lectures both nationally and internationally. He has served as a contributing editor for several optometric

Pathological Myopia: Mini to Maxi Bulge – Page 18 of 192020-06-12T19:48:26+00:00

Choroidal Neovascularization (CNV) – Page 26 of 28

Jerome Sherman, OD, FAAO Jerome Sherman, O.D., is perhaps optometry's most prolific writer, publishing over 650 clinical articles, research manuscripts, book chapters and two CDs. He is senior author of three books that were published in 2007, and has delivered over three thousand lectures both nationally and internationally. He has served as a

Choroidal Neovascularization (CNV) – Page 26 of 282020-06-17T16:26:47+00:00

Choroidal Neovascularization (CNV) – Page 24 of 28

What is the earliest finding in myopic staphyloma? Topcon 3D OCT:Segmentation of the RPE revealing the two mini bulges in the left eye as viewed from behind or below the eye.See Case 1-Pathological Myopia for answer

Choroidal Neovascularization (CNV) – Page 24 of 282020-06-30T14:06:43+00:00

Choroidal Neovascularization (CNV) – Page 23 of 28

Summary of Recent Studies A small study used intravitreal bevacizumab (Avastin) on twenty- two eyes of 22 patients with CNV secondary to high myopia. Fifteen (68.2%) eyes had an improvement of 2 or more lines of visual acuity at 6 months.2 No ocular or systemic complications were noted after intravitreal injections. The 6 month outcome

Choroidal Neovascularization (CNV) – Page 23 of 282020-06-17T16:27:28+00:00

Choroidal Neovascularization (CNV) – Page 22 of 28

Comments and Conclusions High myopia results in a substantial percentage of legal blindness in many developed countries3,4; In France it is the 5th leading cause of blindness.6 High Myopia (defined as over 8D) occurs in 27% to 33% of all myopic eyes, corresponding to a prevalence of 1.7% to 2% in the general population

Choroidal Neovascularization (CNV) – Page 22 of 282020-06-17T16:27:37+00:00

Choroidal Neovascularization (CNV) – Page 21 of 28

Treatment Options for Choroidal Neovascularization in High Myopia Intravitreal anti-VEGF agents such as bevacizumab (Avastin) and ranibizumab (Lucentis) Laser Photocoagulation Photodynamic Therapy (PDT) with Verteporfin Intravitreal Steroid Injections Surgical Extraction of CNV Macular Translocation Various Combination Treatments

Choroidal Neovascularization (CNV) – Page 21 of 282020-06-17T16:27:49+00:00

Choroidal Neovascularization (CNV) – Page 20 of 28

Histological Section as Compared to the OCT Image Although the photoreceptor integrity line, or the PIL (defined as the junction between the inner and outer segments) is barely visible in most histological sections, it is highly prominent in normal SD OCTs. The PIL, as shown above, should be continuous throughout the entire scan in

Choroidal Neovascularization (CNV) – Page 20 of 282020-06-17T16:28:00+00:00