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Ophthaproblem. Photodynamic therapy with verteporfin.

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VOL 47: MAY •MAI 2001❖Canadian Family Physician•Le Médecin de famille canadien 955

Ophthaproblem

Sanjay Sharma, MD, MSC(EPID), FRCSC

clinical challenge

❖

défi clinique

A

73-year-old man complains of loss of vision in his left eye. His visual acuity is recorded at 6/30 in this eye. He is known to have end-stage age-related macular degeneration in the other eye.

Systemic diseases include hypertension and diabetes mellitus.

Which of the following treatments should the patient receive?

1. Periocular steroids

2. Thermal laser photocoagulation 3. Photodynamic therapy with verteporfin 4. No treatment

Answer on page 963

Dr Sharma is an Assistant Professor in the Departments of Ophthalmology and Epidemiology at Queen’s University in Kingston, Ont.

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