Repeat laser coagulation of subretinal neovascularization in age-related macular degeneration

Introduction: Retinal laser coagulation (LC) of extrafoveal subretinal neov ascularization (SRN) due to age-related macular degeneration (AMD) is the o nly sure therapy. Diagnostics, therapy and follow-up are presented in a cas e report. Case report: A 55-year-old woman had suffered from progressive reduction of visual acuity (with metamorphopsia) in both eyes (LE > RE) for 3 years. In the RE the visual acuity was 0.32 and in the LE 0.05. Funduscopy and fluor escein angiography revealed in both eyes the wet form of AMD. The extra-fov ealy located SRN of the RE was photocoagulated and had to be retreated thre e-times in 6 weeks due to persistence. For 8 months the findings in the RE have been stable. VA has been improved to 0.4 and no metamorphopsia has bee n found. Conclusion: Extrafoveal SRN should be treated by LC. Short-term follow-up ( including FA) and in most cases several LCs are necessary to close the SRN and save the patients' reading vision.