The patient was a 33-year-old woman with a history of antiphospholipid syndrome who had no acute complaints and said that she had a few longstanding floaters in the right eye. She had a history of hypertension, kidney disease, and anemia. Her medications included prednisone 10 mg daily, Plaquenil 200 mg daily, and Lovenox 100 mg daily. Her visual acuity was 20/25 OD and 20/50 OS. On examination, the anterior chambers were unremarkable. The vitreous was quiet in both eyes. There were pigmentary changes in both maculas. There was superotemporal neovascularization in the right eye as well as areas of atrophy and scarring that were more prominent in the right eye than the left eye.
What has happened with this patient? What treatment, if any, would you recommend?
