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A second opinion never hurts and is sometimes reassuring- depends upon the relationship with the treating specialist. If the Macugen hasn't helped, I think it is not very likely the PDT will, but again, I am not the expert here.
I don't think the PDT would really make things worse. The problem with macular degeneration is that it is frequently progressive with any and all treatments and there is a legal liability if patients blame the worsening on the treatment rather than the disease. Hence it is important in counseling patients that they understand the macular degeneration and vision loss may progress with treatment and the vision loss may coincidentally seem worse after a treatment.
Charles
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