This 69YO male has counting-finger vision in his right eye from a fibrotic disciform scar due to wet age-related macular degeneration.
Triton swept-source OCT scanning shows hyperreflective subretinal scarring, variable disorganized thinned overlying retinal layers, and outer retinal thickening.
Learning Points:
This type of end-stage wet AMD was the norm prior to the anti-VEGF era, which began in 2005. Fortunately, with early and timely intravitreal injections, disciform scars are now virtually only seen in untreated eyes.
