Two Cases of Macular Edema Associated with Extramacular Branch Retinal Vein Occlusion

Dong Min Cha; Sun Ho Lee; Hye Jin Lee; Jin Ho Jeong

doi:10.3341/jkos.2016.57.2.330

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

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

Case Report

J Korean Ophthalmol Soc 2016;57(2):330-333.

Published online: 7 September 2016

DOI: https://doi.org/10.3341/jkos.2016.57.2.330

Two Cases of Macular Edema Associated with Extramacular Branch Retinal Vein Occlusion

Dong Min Cha, MD, Sun Ho Lee, MD, Hye Jin Lee, MD, Jin Ho Jeong, MD, PhD

Department of Ophthalmology, Jeju National University School of Medicine, Jeju, Korea

Address reprint requests to Sun Ho Lee, MD Department of Ophthalmology, Jeju National University Hospital, #15 Aran 13-gil, Jeju 63241, Korea Tel: 82-64-754-8128, Fax: 82-64-725-2593 E-mail: esono@hanmail.net

Received 11 August 2015 Revised 24 November 2015 Accepted 13 January 2016

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Extramacular branch retinal vein occlusion, Macular edema

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.

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.

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