Juxtapapillary Choroidal Neovascularization

The images above are from a 68 year old man who complained of gradual decrease in vision over 2-3 years. The exam revealed vision of 20/32 on each eye and intraocular pressures of 18 in both eyes. The slit lamp was unremarkable with nuclear sclerotic cataracts in each eye. The fundus shows a retinal hemorrhage in the right eye (see top two photos, pink arrows). The patient had a fluorescein angiogram, which revealed a juxtapapillary choroidal neovascularization (bottom left image, pink arrows) The OCT shows subretinal fluid (bottom right image-yellow arrow). The patient will be treated a series of anti-VEGF intravitreal injections.