Despite this, she still smokes. She has had cataract surgery in the past and presented with a four day history of decreased left vision.

On examination, her visual acuity was Right 6/12 and left Count fingers only.

As you can see, she has atrophic changes at her right macula and a huge left macular hemorrhage. I made a diagnosis of wet AMS and injected Lucentis intravitrally.

I asked her to use Macuvision tablets and stressed that she must stop smoking. Let’s see how she goes, I’ll keep you updated.