neovascularization

What treatment for persistent perfused, but stable, inactive flat NVE (over ½ DA) without any clinically significant edema and some RPE changes, no thickening, and rare MA?

[Michael J Kutryb, MD]

That's a question that should basically be answered by your retinal specialist.  Your opions for treatment include observation and laser photocoagulation and in certain, specific cases, avastin might also be an option.  It all depends on your history, what has already been done and how you have responded to previous treatments. and how long you have been stable.  Generally, laser treatment is the main course of action for neovascularization but sometimes avastin plays a role these days.

MJK MD

[Karleen1]

Regarding your answer on 3/8/10 @ 9:08PM to the question from Karleen1 on 3/10/10 @ 1:21 PM, THANKS again, and sorry I did not specify the history, what was already done and response to treatment, and how long the 'persistent perfused inactive NVE (over 1/2 DA) w/out any clinically significant edema with some RPE changes, but no thickening, and rare MA' was stable.

Actually the PDR was diagnosed in 2001.  Full laser treatment over the years.  Eye hemorrhage in 2006 followed by a vitrectomy in the right eye.  In 12/2007 a new vessel was seen in the left eye.  In 2/08 more laser in the left eye.  In 3/08 small hemorrhage in the left eye anyway, which cleared on it's own thankfully.  In 6/08 more laser in the left eye to help vessels regress.  In 9/08 a growth of a new vessel seen again in the left eye in which it has been stable up until present with some RPE changes, etc. as noted above. Therefore,

How long does one usually wait under these circumstances before more laser, or avastin?  P.S.  When to much time went by in watching the right eye years ago - well - There had to be performed a vitrectomy - which can have it's problems.
Karleen1