This patient has a large subretinal fibrotic disciform scar from end-stage wet age-related macular degeneration.
OCT shows marked overlying retinal disorganization and cystic changes.
Learning Points:
These fibrotic scars are usually the result of untreated macular neovascularization. These were more the rule than the exception prior to the introduction of anti-VEGF therapy in the mid-2000’s.
With early and aggressive treatment, this type of outcome is now rarely, if ever, seen.
