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Case from 2008 treated with laser and steroids. Developed steroid responsive glaucoma and cataract. Final vision - 20/50 71-year-old woman has a branch retinal vein occlusion in the left eye with macular edema. She felt that since she was here on November 6th her vision was initially improving and then about one month ago noticed two flashes and a blob in her vision and then her vision suddenly worsened. VISUAL ACUITY: Vision OS 20/80. IOP: OS 18. There is 1+ nuclear sclerosis. EXTENDED OPHTHALMOSCOPY: OS: Vertical C/D ratio is 0.3. There is 3+ cystoid macular edema. There is a superotemporal macular branch retinal vein occlusion. OCT SCAN: The OCT scan shows cystoid macular edema in the left eye with a central foveal thickness of 482 microns, which is slightly worse than last visit when it was 422 microns. FLUORESCEIN ANGIOGRAPHY: FA shows a superotemporal branch retinal vein occlusion with multiple leaky vessels near the fovea superiorly. There are also a few telangiectatic vessels along the inferior arcade, which are probably early forming collateral vessels. IMPRESSION: 1. MACULAR BRANCH RETINAL VEIN OCCLUSION – LEFT EYE 2. MACULAR EDEMA – LEFT EYE 3. PERSISTENT AND WORSENING VISION – LEFT EYE 4. CATARACT DISCUSSION: I explained to the patient that with focal laser there is about a 75% chance of drying up the macula and reducing the vision loss and possibly improving the vision. I treated her with focal laser. I asked her to return for a check in three months. If the focal laser alone does not work, we can always augment the treatment with injectible drugs or consider repeating the laser as needed in the future.

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branch retinal vein occlusion - fundus photo342 views70 year old woman with 20/80 vision from a branch retinal vein occlusion and macular edema. She has had laser treatment and intravitreal steroids. Her vision with further laser improved to 20/50.55555
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branch retinal vein occlusion - oct map205 views70 year old woman with 20/80 vision from a branch retinal vein occlusion and macular edema. She has had laser treatment and intravitreal steroids. Her vision with further laser improved to 20/50.00000
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brvo cme with small serous macular detachment 215 views70 year old woman with 20/80 vision from a branch retinal vein occlusion and macular edema. She has had laser treatment and intravitreal steroids. Her vision with further laser improved to 20/50.00000
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branch retinal vein occlusion - oct line scan214 views70 year old woman with 20/80 vision from a branch retinal vein occlusion and macular edema. She has had laser treatment and intravitreal steroids. Her vision with further laser improved to 20/50.55555
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branch retinal vein occlusion - red free photo215 views70 year old woman with 20/80 vision from a branch retinal vein occlusion and macular edema. She has had laser treatment and intravitreal steroids. Her vision with further laser improved to 20/50.00000
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BRVO arrow showing obstruction point with collateral vessels - red free photo236 views70 year old woman with 20/80 vision from a branch retinal vein occlusion and macular edema. She has had laser treatment and intravitreal steroids. Her vision with further laser improved to 20/50.00000
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branch retinal vein occlusion - fluorescein angiogram148 views70 year old woman with 20/80 vision from a branch retinal vein occlusion and macular edema. She has had laser treatment and intravitreal steroids. Her vision with further laser improved to 20/50.00000
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branch retinal vein occlusion - fluorescein angiogram219 views70 year old woman with 20/80 vision from a branch retinal vein occlusion and macular edema. She has had laser treatment and intravitreal steroids. Her vision with further laser improved to 20/50.00000
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branch retinal vein occlusion - fluorescein angiogram119 views70 year old woman with 20/80 vision from a branch retinal vein occlusion and macular edema. She has had laser treatment and intravitreal steroids. Her vision with further laser improved to 20/50.00000
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branch retinal vein occlusion - fluorescein angiogram - arrow shows obstruction point with collateral vessels286 views70 year old woman with 20/80 vision from a branch retinal vein occlusion and macular edema. She has had laser treatment and intravitreal steroids. Her vision with further laser improved to 20/50.00000
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branch retinal vein occlusion - fluorescein angiogram167 views70 year old woman with 20/80 vision from a branch retinal vein occlusion and macular edema. She has had laser treatment and intravitreal steroids. Her vision with further laser improved to 20/50.00000
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branch retinal vein occlusion - fluorescein angiogram130 views70 year old woman with 20/80 vision from a branch retinal vein occlusion and macular edema. She has had laser treatment and intravitreal steroids. Her vision with further laser improved to 20/50.00000
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branch retinal vein occlusion - fluorescein angiogram258 views70 year old woman with 20/80 vision from a branch retinal vein occlusion and macular edema. She has had laser treatment and intravitreal steroids. Her vision with further laser improved to 20/50.00000
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Case from 2008 treated with laser and steroids. Developed steroid responsive glaucoma and cataract. Final vision - 20/50 71-year-old woman has a branch retinal vein occlusion in the left eye with macular edema. She felt that since she was here on November 6th her vision was initially improving and then about one month ago noticed two flashes and a blob in her vision and then her vision suddenly worsened. VISUAL ACUITY: Vision OS 20/80. IOP: OS 18. There is 1+ nuclear sclerosis. EXTENDED OPHTHALMOSCOPY: OS: Vertical C/D ratio is 0.3. There is 3+ cystoid macular edema. There is a superotemporal macular branch retinal vein occlusion. OCT SCAN: The OCT scan shows cystoid macular edema in the left eye with a central foveal thickness of 482 microns, which is slightly worse than last visit when it was 422 microns. FLUORESCEIN ANGIOGRAPHY: FA shows a superotemporal branch retinal vein occlusion with multiple leaky vessels near the fovea superiorly. There are also a few telangiectatic vessels along the inferior arcade, which are probably early forming collateral vessels. IMPRESSION: 1. MACULAR BRANCH RETINAL VEIN OCCLUSION – LEFT EYE 2. MACULAR EDEMA – LEFT EYE 3. PERSISTENT AND WORSENING VISION – LEFT EYE 4. CATARACT DISCUSSION: I explained to the patient that with focal laser there is about a 75% chance of drying up the macula and reducing the vision loss and possibly improving the vision. I treated her with focal laser. I asked her to return for a check in three months. If the focal laser alone does not work, we can always augment the treatment with injectible drugs or consider repeating the laser as needed in the future.