What order do you treat him in?

Macular edema then neovascularization -always tx the macular edma before the neo. o if a pt has csme and they have neo, the doctor is always going to do focal laser first to tx the macular edema and then do prp. the reason is when they do prp you may be pushing more fluid into the macula. so you want to take care of the edema at the macula first. vitrectomies can also be done for neo. the reason why is the vitreous plays a big role in agiogensis and neo formation. by doing a vitrectomy the chances of having neo go down. focal/grid, vitrectomy, ilm strip can all be done for macular edema. prp, vitrectomy, ilm strip can be done for neo.