The patient was a 90-year-old man with a history of wet AMD in the right eye for which he had received Avastin treatments since October 2020. There was no acute choroidal neovascular membrane activity in either eye in April 2022. His visual acuity at that time was 20/400 OD and 20/20-1 OS. Two months later, he presented with decreased vision in the left eye to 20/200. OCT showed a broad PED with variable height, overlying subretinal fluid, and some macular edema. OCTA revealed a choroidal neovascular membrane. He was treated with Avastin, and one month later he presented with a visual acuity of 20/400 in the left eye but unchanged subjective vision. What is the most likely diagnosis? What treatment would you recommend?
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