Author: DrPVH

Concerned citizen with a multitude of interests...

Avastin DD vs Eylea?

by DrPVH, posted in Articles, Blog

The question is which is better double dose of Avastin or Eylea? For years I have used double dose Avastin (2.5mg with AC tap for IOP control) to try to control age related macular degeneration. Initially there is a substantial improvement in the subretinal fluid (SRF) and the vision. In certain patients with more longstanding … Continue reading Avastin DD vs Eylea?

Resolution of anti-VEGF resistant serous pigment epithelium detachment with dexamethasone implant

by DrPVH, posted in Articles, Uncategorized

Title: Resolution of anti-VEGF resistant serous pigment epithelium detachment with dexamethasone implant Authors: C. Ellis Wisely, Ananth Sastry, Sharon Fekrat Pigment epithelium detachment (PED) is often a manifestation of age-related macular degeneration (AMD).1 PEDs are formed when the retinal pigment epithelium (RPE) separates from Bruch membrane due to the presence of material in the sub-RPE … Continue reading Resolution of anti-VEGF resistant serous pigment epithelium detachment with dexamethasone implant

“Oh where did the buckle go?”

by DrPVH, posted in Blog, Cases

Case Report: 73yo WF presents with 10 day shadow developing in the vision. Found to have superior temporal bullous RRD w multiple pinholes reaching into the fovea. Part of the RD was clear indicating a chronic RD with extension inferiorly with cloudy retina. Severe choroidal atrophied areas temporally. Pt is a habitual eye rubber. Other … Continue reading “Oh where did the buckle go?”

ARMD: a Reader’s Digest history

by DrPVH, posted in Articles, Blog

For those of you with either a short memory or missed the early history, here is a brief review as experienced and remembered by one clinician... In the area of wet Age Related Macular Degeneration (ARMD), we have come a long way in my short 35 year experience including residency and fellowship. Here is where … Continue reading ARMD: a Reader’s Digest history

Clinical Pearls: Soda Effect

by DrPVH, posted in Articles, Blog

One clinician’s observation of the effect of drinking both diet and regular sodas on the health of the patient. The observations and data acquired via clinical practice using electronic medical records and high resolution digital andiogram system for 25 years. When dealing with diabetic retinopathy, most physicians would tell a person with diabetes that the … Continue reading Clinical Pearls: Soda Effect