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How Can Peripheral Vascular Disease Be Treated?
Hi..I am a 56 yrs male; non-diabetic..had Phaco of both eyes 5 yrs back..PVD has been diagnosed in my left eye about 3 months back; acuity of vision decreased 50%..Bromfenac eye drop has been prescribed & using it for about 2 months.. Retina ok..Prognosis??
Fri, 23 Mar 2018
Hello,
A Posterior vitreous detachment (PVD) is an innocuous condition (provided not accompanied with a retinal break) that commonly occurs with age. It typically just causes a floater in your vision and doesn't compromise vision. A 50% decrease in vision is most suggestive of posterior capsular opacification (PCO) that commonly occurs after cataract surgery or macular edema (which can be treated with Bromfenac drops). If the condition is a posterior capsular opacification (PCO) it can very easily be resolved with a simple laser procedure.
Macular edema requires a more step-based approach beginning with NSAIDS drops (like bromfenac), then steroid drops. If unresolved, it may need more aggressive treatment like a steroid injection (posterior subtenons or intravitreal). The resolution of macular edema will be decided based on clinical examination accompanied by investigations like optical coherence tomography scan.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Kartik Panikkar
A Posterior vitreous detachment (PVD) is an innocuous condition (provided not accompanied with a retinal break) that commonly occurs with age. It typically just causes a floater in your vision and doesn't compromise vision. A 50% decrease in vision is most suggestive of posterior capsular opacification (PCO) that commonly occurs after cataract surgery or macular edema (which can be treated with Bromfenac drops). If the condition is a posterior capsular opacification (PCO) it can very easily be resolved with a simple laser procedure.
Macular edema requires a more step-based approach beginning with NSAIDS drops (like bromfenac), then steroid drops. If unresolved, it may need more aggressive treatment like a steroid injection (posterior subtenons or intravitreal). The resolution of macular edema will be decided based on clinical examination accompanied by investigations like optical coherence tomography scan.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Kartik Panikkar
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