What will be the best treatment for the below patient?: (A) Laser photocoagulation, (B) Three monthly injections of Ranibizumab, (C) Photodynamic therapy, (D) Observation and follow-up
Answer is B. Ans. (b) Three monthly injections of RanibizumabOption a - LP is done for extrafoveal lesions, rarely done now a days.Option b - Anti-VEGF drugs are the mainstay of treatment for Wet ARMD as has been seen in many trials such as MARINA, ANCHOR, Pronto trial etcOption c - PDT can be done, but used only ifPurely occult CNVPredominantly classical CNV, subfoveal, not larger than 5400 microns and a visual acuity of 6/60 or better.Option d - Wet ARMD needs to be treated. Observation may be done in cases of Dry ARMD.