Retina Then and Now: July/August Spotlight

As part of our 20th anniversary, Retina Today is digging into the archives to reflect on how much the profession has changed.

Gregg T. Kokame, MD, MMM, FASRS

Retina Today

JULY/AUGUST SPOTLIGHT: MANAGING SUBRETINAL MEMBRANE In 2006, Gregg T. Kokame, MD, MMM, FASRS, contributed an article to Retina Today on peripapillary subretinal neovascular membranes (SRNVM) entitled An Indication for Surgery in the Antiangiogenic Era. The article detailed the need for surgery in certain patients, even with the advent of anti-VEGF therapy. Here, Dr. Kokame shares how the treatment paradigm for various AMD subtypes has changed and what new therapies are in the pipeline. RETINA TODAY (RT): How were you treating SRNVM in 2006? Gregg T. Kokame, MD, MMM, FASRS: In 2006, the subretinal surgery for wet AMD trials had recently shown a negative result, as the retinal pigment epithelium and photoreceptors did not recover after removal of the SRNVM.1 However, in a specific subset of patients with wet AMD, peripapillary SRNVM that spared the fovea could be removed with maintenance of good vision and limited need for supplemental therapy.2 RT: How has the treatment of SRNVM changed over the past 20 years? Dr. Kokame: Since then, anti-VEGF therapy has proven very efficacious, and intravitreal anti-VEGF injections are now the treatment of choice for wet AMD.

PRIMA Retinal Implant Launched in EU

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A retinal implant system allowing patients with GA to regain some functional central vision vison is approved in Europe; Bausch + Lomb launches a new preloaded IOL delivery system in the US; and we review recent advancements and milestones in the development of novel ophthalmic treatments. Learn more about your ad choices. Visit megaphone.fm/adchoices

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