66-year-old woman has a central retinal vein occlusion in the right eye with macular edema. She had intravitreal Lucentis treatments monthly. The last treatment was six weeks ago and she has noticed over the last week or two her vision is declining.
VISUAL ACUITY: OD 20/70, OS 20/30. IOP: OD 17. The right eye has 2+ nuclear sclerotic cataract.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.1. There are optociliary shunt vessels on the optic nerve. There is 2+ cystoid macular edema. There are patchy retinal hemorrhages and dilated retinal veins.
OCT SCAN: The OCT scan shows recurrent macular edema.
Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAM: Shows temporal nonperfusion almost up to the center of the fovea.
IMPRESSION:
1. CENTRAL RETINAL VEIN OCCLUSION – RIGHT EYE
2. RESOLVED MACULAR EDEMA – RIGHT EYE
3. PERIPHERAL NONPERFUSION – RIGHT EYE
DISCUSSION: I explained to the patient with the recurrent macular edema, I think it is reasonable to restart Lucentis treatment, but also supplement laser to try to prevent recurrence again. I did a focal laser today trying to create a chorioretinal anastomosis. I asked her to return in a week for a Lucentis treatment and subsequent to that I will add a panretinal laser, especially the temporal periphery.
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Central Retinal Vein Occlusion Recurrent Edema 6 weeks after Lucentis - Nonperfusion Temporallyvista 756 veces66-year-old woman has a central retinal vein occlusion in the right eye with macular edema. She had intravitreal Lucentis treatment six weeks ago and she has noticed over the last week or two her vision is declining.
VISUAL ACUITY: OD 20/70, OS 20/30.  
(1 votos)
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Central Retinal Vein Occlusion Recurrent Edema 6 weeks after Lucentis - Nonperfusion Temporallyvista 659 veces66-year-old woman has a central retinal vein occlusion in the right eye with macular edema. She had intravitreal Lucentis treatment six weeks ago and she has noticed over the last week or two her vision is declining.
VISUAL ACUITY: OD 20/70, OS 20/30.
(0 votos)
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Central Retinal Vein Occlusion Recurrent Edema 6 weeks after Lucentis - Nonperfusion Temporallyvista 454 veces66-year-old woman has a central retinal vein occlusion in the right eye with macular edema. She had intravitreal Lucentis treatment six weeks ago and she has noticed over the last week or two her vision is declining.
VISUAL ACUITY: OD 20/70, OS 20/30.
(0 votos)
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Central Retinal Vein Occlusion Recurrent Edema 6 weeks after Lucentis - Nonperfusion Temporallyvista 560 veces66-year-old woman has a central retinal vein occlusion in the right eye with macular edema. She had intravitreal Lucentis treatment six weeks ago and she has noticed over the last week or two her vision is declining.
VISUAL ACUITY: OD 20/70, OS 20/30.
(0 votos)
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Central Retinal Vein Occlusion Recurrent Edema 6 weeks after Lucentis - Nonperfusion Temporallyvista 488 veces66-year-old woman has a central retinal vein occlusion in the right eye with macular edema. She had intravitreal Lucentis treatment six weeks ago and she has noticed over the last week or two her vision is declining.
VISUAL ACUITY: OD 20/70, OS 20/30.
(0 votos)
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Central Retinal Vein Occlusion Recurrent Edema 6 weeks after Lucentis - Nonperfusion Temporallyvista 631 veces66-year-old woman has a central retinal vein occlusion in the right eye with macular edema. She had intravitreal Lucentis treatment six weeks ago and she has noticed over the last week or two her vision is declining.
VISUAL ACUITY: OD 20/70, OS 20/30.
(0 votos)
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Central Retinal Vein Occlusion Recurrent Edema 6 weeks after Lucentis - Nonperfusion Temporallyvista 467 veces66-year-old woman has a central retinal vein occlusion in the right eye with macular edema. She had intravitreal Lucentis treatment six weeks ago and she has noticed over the last week or two her vision is declining.
VISUAL ACUITY: OD 20/70, OS 20/30.
(0 votos)
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Central Retinal Vein Occlusion Recurrent Edema 6 weeks after Lucentis - Nonperfusion Temporallyvista 440 veces66-year-old woman has a central retinal vein occlusion in the right eye with macular edema. She had intravitreal Lucentis treatment six weeks ago and she has noticed over the last week or two her vision is declining.
VISUAL ACUITY: OD 20/70, OS 20/30.
(0 votos)
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Central Retinal Vein Occlusion Recurrent Edema 6 weeks after Lucentis - Nonperfusion Temporallyvista 439 veces66-year-old woman has a central retinal vein occlusion in the right eye with macular edema. She had intravitreal Lucentis treatment six weeks ago and she has noticed over the last week or two her vision is declining.
VISUAL ACUITY: OD 20/70, OS 20/30.
(0 votos)
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Central Retinal Vein Occlusion Recurrent Edema 6 weeks after Lucentis - Nonperfusion Temporallyvista 443 veces66-year-old woman has a central retinal vein occlusion in the right eye with macular edema. She had intravitreal Lucentis treatment six weeks ago and she has noticed over the last week or two her vision is declining.
VISUAL ACUITY: OD 20/70, OS 20/30.
(0 votos)
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Central Retinal Vein Occlusion Recurrent Edema 6 weeks after Lucentis - Nonperfusion Temporallyvista 480 veces66-year-old woman has a central retinal vein occlusion in the right eye with macular edema. She had intravitreal Lucentis treatment six weeks ago and she has noticed over the last week or two her vision is declining.
VISUAL ACUITY: OD 20/70, OS 20/30.
(0 votos)
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Central Retinal Vein Occlusion Recurrent Edema 6 weeks after Lucentis - Nonperfusion Temporallyvista 546 veces66-year-old woman has a central retinal vein occlusion in the right eye with macular edema. She had intravitreal Lucentis treatment six weeks ago and she has noticed over the last week or two her vision is declining.
VISUAL ACUITY: OD 20/70, OS 20/30.
(0 votos)
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Central Retinal Vein Occlusion Recurrent Edema 6 weeks after Lucentis - Nonperfusion Temporallyvista 510 veces66-year-old woman has a central retinal vein occlusion in the right eye with macular edema. She had intravitreal Lucentis treatment six weeks ago and she has noticed over the last week or two her vision is declining.
VISUAL ACUITY: OD 20/70, OS 20/30.
(0 votos)
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Central Retinal Vein Occlusion Recurrent Edema 6 weeks after Lucentis - Nonperfusion Temporallyvista 522 veces66-year-old woman has a central retinal vein occlusion in the right eye with macular edema. She had intravitreal Lucentis treatment six weeks ago and she has noticed over the last week or two her vision is declining.
VISUAL ACUITY: OD 20/70, OS 20/30.
(0 votos)
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Central Retinal Vein Occlusion Recurrent Edema 6 weeks after Lucentis - Nonperfusion Temporallyvista 583 veces66-year-old woman has a central retinal vein occlusion in the right eye with macular edema. She had intravitreal Lucentis treatment six weeks ago and she has noticed over the last week or two her vision is declining.
VISUAL ACUITY: OD 20/70, OS 20/30.
(0 votos)
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| 15 archivos en 1 página(s) |
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66-year-old woman has a central retinal vein occlusion in the right eye with macular edema. She had intravitreal Lucentis treatments monthly. The last treatment was six weeks ago and she has noticed over the last week or two her vision is declining.
VISUAL ACUITY: OD 20/70, OS 20/30. IOP: OD 17. The right eye has 2+ nuclear sclerotic cataract.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.1. There are optociliary shunt vessels on the optic nerve. There is 2+ cystoid macular edema. There are patchy retinal hemorrhages and dilated retinal veins.
OCT SCAN: The OCT scan shows recurrent macular edema.
Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAM: Shows temporal nonperfusion almost up to the center of the fovea.
IMPRESSION:
1. CENTRAL RETINAL VEIN OCCLUSION – RIGHT EYE
2. RESOLVED MACULAR EDEMA – RIGHT EYE
3. PERIPHERAL NONPERFUSION – RIGHT EYE
DISCUSSION: I explained to the patient with the recurrent macular edema, I think it is reasonable to restart Lucentis treatment, but also supplement laser to try to prevent recurrence again. I did a focal laser today trying to create a chorioretinal anastomosis. I asked her to return in a week for a Lucentis treatment and subsequent to that I will add a panretinal laser, especially the temporal periphery.
