Arab Board Ophthalmology Clinical & Oral

Practice session

An 82-year-old female presents with sudden onset of visual distortion and rapid vision loss in her right eye (20/100). Fundus exam shows a grey-green subretinal lesion with subretinal fluid, intraretinal lipid, and small hemorrhages at the macula. OCT reveals subretinal hyperreflective material (SHRM), subretinal fluid, and disruption of the retinal pigment epithelium. What is the gold-standard first-line therapy for this active neovascular (wet) age-related macular degeneration?

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