I am posting an update on my case to document it for other patients, since Google will not allow me to reply to my previous posts. The orginal posts are pasted below.
As of today my lesion is still scarred over, no bleeding. My last (2nd) PDT surgery was in April of 2005. I still have a significant blind spot with black and white flashing - my understanding is that it is permanent. My far vision seems to be stable but near vision is getting worse (I am becoming farsighted in addition to my nearsightedness). I now have to remove my glasses to read and probably qualify for bifocals but I don't want to go there, yet. ;) My next appointment for a retinal exam is in February, with my regular opthamologist. I will continue to update my case periodically for anyone who may be interested in this condition or may have a similar condition. Feel free to email me with questions at the address below. -L.
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L. Newsgroups: sci.med.vision From: "L." <gentle...@peacemail.com> Date: 19 Jun 2006 00:06:32 -0700 Local: Sun, Jun 18 2006 11:06 pm Subject: Visudyne therapy, SRN, no macular degeneration, young patient
Hi, I am just posting an update to an older post I made about my condition. The original post is pasted below and can be found via a Google search. I am now 14 months post-Visudyne PDT treatment (my second one) and my lesion is still sealed and seems to be stable. My vision has actually improved, although I still have flashing and have a significant grey area with a blind spot, as described below. My center of vision in my affected eye is somewhat skewed. I do not have any negative side effects from the drug that I know of. I have an appointment next month to confirm my eye's stability, and then I am released to my regular opthamologist. I am still interested in hearing from other young patients who suffer from similar conditions. Thank you, -Lyn
***paste*** Hi all,
I'm just making notations for the archive incase there are others out in cyberworld who have the same condition. I am 41 years old, female and was diagnosed with subretinal neovascular membrane of the left eye, also called choroidal neovascularization, in Oct of 2004. I have no underlying causative conditions such as advanced age, macular degeneration, diabetes, glaucoma, extreme myopia or any other underlying condition suspected to contribute to this - so it is classified as "idiopathic". So far I have been contacted by one other person under 40 (she is 30) who has this same condition - and I would be interested in talking to any others who also have it. My email address is below.
My lesion was large when it was discovered. My only symptom was a flashing in the upper left quadrant of my left eye which I had for a few months before seeking treatment (I thought it was from migraine headaches). The lesion was sub-fovial when discovered and three different surgeons/retina specialists were consulted - two in Portland, Oregon (one at Casey (OHSU) and one at Retina NW) and one at John Hopkins. The two in Portland suggested Visudyne PDT, Hopkins suggested traditional argon laser surgery. Since I am young, I opted for Visudyne PDT. The first surgery sealed the lesion pretty well. Five months later, slight leakage was discovered which progressed over the next 6 weeks. So I had a second laser surgery in late April. I have not yet received the results from that surgery.
My symptoms to date have been stable flashing spots, some with dark centers, and an area of distortion that has a grey center which contains a significant blind spot. The blind spot developed post-PDT, and may or may not resolve as fluid is absorbed from under the retina. The distortion now affects my fovea, and covers most of the left half of my field of vision in my left eye. The grey area is egg-shaped and is also centered in the left half of the field of vision. The blind spot is centered in the grey area but affects the fovea.
My only other medical condition is polycystic ovary syndrome without insulin resistance. I am overweight but not classified as "obese", I have normal blood pressure and all of my blood chemistries are normal. The only value that is high is triglycerides, which run normally high in my family. None of my other relatives have this condition, although two of my aunts developed ARMD after the age of 65.
I would be interested in being contacted by anyone under 50 who has a similar condition. We are trying to compare notes, as the use of Visudyne PDT is not well understood in non-geriatric patients, and there is some risk associated with the drug since no carcinogenic studies have been done. I also have some systemic reaction to the drug - vomiting, nausea and diarrhea which is uncommon. Feel free to email me at the address in the header or at idontmind (at) hotmail (dot) com if you would like to share information.
Thanks, -L.
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