Journal List > J Korean Ophthalmol Soc > v.57(2) > 1010515

Cha, Lee, Lee, and Jeong: Two Cases of Macular Edema Associated with Extramacular Branch Retinal Vein Occlusion

Abstract

Purpose

To report two cases of patients treated for macular edema associated with extramacular branch retinal vein occlusion (BRVO).

Case summary

(Case 1) A 64-year-old female presented with macular edema (ME) associated with superotemporal extra-macular BRVO. The ME was resolved but hard exudate (HE) deposited after combined therapy of intravitreal bevacizumab injection and laser photocoagulation of the BRVO area. Best corrected visual acuity (BCVA) improved from 0.2 to 0.5 following absorption of HE. (Case 2) A 53-year-old male presented with ME associated with extramacular BRVO outside the superior vascular arcade. ME was treated with 2 monthly injections of bevacizumab and laser photocoagulation in the BRVO area. Although HE deposited after resolution of ME, it was absorbed and BCVA improved from 0.1 to 0.4. The ME did not recur in either patient.

Conclusions

We report 2 cases managed with combined therapy of intravitreal bevacizumab injection and laser photocoagulation for ME associated with extramacular BRVO.

REFERENCES

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Figure 1.
A case of 64-year-old female. (A, B, D) Fundus photograph, fluorescein angiography and optical coherence tomography showing macular edema (ME) associated with extramacular branch retinal vein occlusion (BRVO) before treatment for ME. (B) Angiography shows no leakage in the macular area. Multiple microaneurysms and small area of nonperfusion are observed super-otemporally on angiography. (C, E) Fundus photograph and optical coherence tomography 1 month after laser photocoagulation. White arrows indicate the scanning line of optical coherence tomography.
jkos-57-330f1.tif
Figure 2.
A case of 53-year-old male. (A, B, D) Fundus photograph, fluorescein angiography and optical coherence tomography showing macular edema (ME) associated with extramacular branch retinal vein occlusion (BRVO) before treatment for ME. Angiography shows no leakage in the macular area. (C, E) Fundus photograph and optical coherence one month after the second intravitreal bevacizumab injection and laser photocoagulation. White arrows indicate the scanning line of optical coherence tomography.
jkos-57-330f2.tif
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