My other CNV alert was from a 78-year-old female with a history of exudative AMD in her right eye–also being treated with intravitreal aflibercept–and intermediate dry AMD in her left eye. Her left eye baseline visual acuity was 20/40. Of note, this patient typically spends six months in Sarasota, FL and six months in Cincinnati, OH. When the home-use device alert occurred in her left eye, she was completely asymptomatic and was at that time still in Cincinnati.
After analyzing her report (Figure 4), I immediately arranged for her to be evaluated in Cincinnati in which her vision was still 20/40 OS but on dilated fundus exam there was the presence of subretinal fluid and subretinal hemorrhage noted in the macula OS. The patient received her first anti-VEGF (vascular endothelial growth factor) injection OS in Cincinnati and she then returned to Sarasota where I have continued her current treatment regimen. She currently has maintained her 20/40 vision OS due to prompt response to the FSH alert and early anti-VEGF treatment initiation.
As with most diseases in medicine, earlier detection often results in a less-aggressive disease overall, less treatment needed in the long run, and a much better outcome where we can preserve and perhaps even improve vision. This device has great potential for patients who have dry AMD with vision that is 20/60 or better in the testing eye. Basically, any patient who is prescribed AREDS2 vitamins and meets the device’s eligibility criteria should be prescribed this device.
Patients do not need to be tech savvy as the device is easy to use. It also has a good training program designed to help anyone learn how to use it, whether it is learning how to use a computer mouse or connecting the device to Wi-Fi.
Additionally, there are very helpful educational aids in place to help patients understand the device and emphasize the importance of consistent/regular testing. The bottom line is, if the patient is in danger of developing wet AMD, he or she needs to be on the device to provide the highest level of patient care.
Joshua Mali, MD, is a board-certified ophthalmologist and award-winning vitreoretinal surgeon at The Eye Associates, a private multispecialty ophthalmology practice in Sarasota, Florida. He can be reached at 941-923-2020.
Dr. Mali’s relevant financial disclosures include the following: Notal Vision Inc. (consultant, speaker), Regeneron (consultant, speaker, stock shareholder, research funding).
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