J Korean Ophthalmol Soc.  2016 Feb;57(2):330-333. 10.3341/jkos.2016.57.2.330.

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

• Cha DM
• Lee SH
• Lee HJ
• Jeong JH

• KMID: 2213677
• DOI: http://doi.org/10.3341/jkos.2016.57.2.330

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.

Keyword

Extramacular branch retinal vein occlusion; Macular edema

MeSH Terms

Absorption
Exudates and Transudates
Female
Humans
Light Coagulation
Macular Edema*
Male
Middle Aged
Retinal Vein Occlusion*
Retinal Vein*
Retinaldehyde*
Visual Acuity
Bevacizumab
Retinaldehyde

Figure

• 

  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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