Posts by Christolyn Rajakulenthiran
The age old asteroid hyalosis
I always find it a challenge to capture this pretty pathology on camera… 45yo female , asymptomatic of floaters. As you have encountered I’m sure, this is often the case!
Read MoreVitreomacular traction
There has been some recent discussion around Ocriplasmin – trade name Jetrea- a recombinant protease with activity against fibronectin and laminin, components of the vitreoretinal interface. It is used for treatment of symptomatic vitreomacular adhesion, via intravitreal injection, for which it has recently been approved for use in Australia. Sometimes controversial as a single treatment…
Read Morean atypical retinal appearance
This is a case that an optometrist recently sent me . A middle aged man , no apparent change in vision but an unusual pigmentation/ depigmenation to the retina. Focus on the pale subretinal lesions. A similar appearance in the fellow eye ( not shown). A case of birdshot chorioretinoapthy -at present inactive.
Read MoreA challenging case..
This 10year yo otherwise well boy presented with what appeared to be optic nerve swelling in both eyes. A work up for papilloedema including neuro-imaging , infective screening , lumbar puncture and opening CSF pressure was done showing no anomalies. Without active treatment vision is returning and the disc and retinal oedema appears to be…
Read MoreIt pays to further investigate…
To a retinal specialist, the importance of a fundus fluorescein angiogram (FFA) as a follow up investigation is commonplace. What isn’t so routine is expecting to find something that you weren’t quote convinced was present on examination of a patient’s retinal fundus. I share the following post with you as I was somewhat surprised by…
Read MoreANZRS meeting
This annual meeting of retinal specialists nation wide gave us the opportunity to share our experiences and knowledge about current treatments for retinal disease as well as discuss upcoming research. Among the hot topics discussed were the recent trials arguing for intra-vitreal injections over retinal laser for treatment of proliferative diabetic retinopathy. There have recently…
Read MoreConference News..
The annual Hawaiian Eye Conference looked at the new developments in optical coherence tomography (OCT) technology, including angiography, swept source, wide-field and en face OCT. current trends in pharmacotherapy for neovascular age-related macular degeneration (AMD), including diagnostic evaluation, agent choice and various dosing regimens. the new and investigational treatment schemes for wet AMD, including the…
Read MoreNew Journal Studies AAO
Mediterranean diet may protect against late AMD Investigators examined a year’s worth of dietary data on 4,753 people from 7 European countries. Using the previously published Mediterranean Diet Score (MDS), the authors showed that participants in the highest MDS category had a 20% reduced risk of developing late AMD (P=0.05). No link emerged between…
Read MoreEuretina conference : the treat and extend protocol in AMD
Most patients in the maintenance phase of a treat-and-extend regimen for AMD continue to require treatment approximately every 8 weeks, according to this analysis of data from a large international voluntary registry of neovascular AMD. While there is little debate about the best approach to the induction phase of a treatment treat-and-extend…
Read MoreNeeding further investigation?
70 yo patient with known history of AMD. Now worsening vision? IsOCT appearance enough to commence treatment or is an FFA required – patient not keen on further investigation?
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