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RETINAL VASCULAR DISEASES

Branch Retinal Vein Occlusion

Clinical Case 01

Branch Retinal Vein Occlusion - Clinical Case 01

Fundus photograph of supero-temporal vein occlusion in a 65-years-old male patient who complained of vision loss for the past 21 days. Note the intraretinal hemorrhages in territory of the supero temporal retinal vein, following the nerve fibers along their course. Visual acuity: 20/100 LE

Branch Retinal Vein Occlusion - Clinical Case 01

Fundus photograph, 10 months after branch vein occlusion shows absorption of hemorrhages. Note the macular edema

Evaluations

1st evaluation

14 0

09 06 2008 - Colour Retinography

Fundus photograph of supero-temporal vein occlusion in a 65-years-old male patient who complained of vision loss for the past 21 days. Note the intraretinal hemorrhages in territory of the supero temporal retinal vein, following the nerve fibers along their course. Visual acuity: 20/100 LE

Partial absorption of hemorrhages. Note the dilation and tortuosity of the affected vein, the cotton-wool spot and hard exsudates

Partial absorption of hemorrhages. Note the dilation and tortuosity of the affected vein, the cotton-wool spot and hard exsudates

Partial absorption of hemorrhages. Note the dilation and tortuosity of the affected vein, the cotton-wool spot and hard exsudates

The absorption of hemorrhages is evident. Note the dilation and tortuosity of the affected vein, the cotton-wool spot and hard exsudates

Seven months later, the hemorrhage was partially absorbed. Visual acuity was 20/40 RE

09 06 2008 - OCT B-Scan (Longitudinal)

OCT vertical line-scan in same case showing macular retinal detachment

OCT vertical scan in same case 3 weeks after intraocular injection of bevacizumab

OCT line-scan in same case

OCT line-scan in same case

OCT line-scan in same case shows recovery of retinal structure

OCT line-scan in same case

OCT line-scan shows macular edema

2nd evaluation

21 0

08 01 2009 - Colour Retinography

Eight months after vein occlusion, the visual acuity was 20/40 LE

Fundus photograph nine months after branch vein occlusion. The eye has received several intraocular injections of bevacizumab

13 07 2009 - Fluorescein Angiography

Note the dilatation and tortuosity of capillaries, formation of microaneurysms and the non-perfusion areas

08 01 2009 - OCT B-Scan (Longitudinal)

OCT line-scan shows macular edema

OCT line-scan showing loss of foveal depression

OCT line-scan showing loss of foveal depression

OCT line-scan showing loss of foveal depression

OCT line-scan showing loss of foveal depression

05 03 2009 - OCT C-Scan (Coronal)

23 04 2009 - Tonometry

3rd evaluation

15 0

19 03 2010 - Colour Retinography

Fundus photograph 10 months after branch vein occlusion shows absorption of hemorrhages. Note the macular edema

Fundus photograph after laser treatment

31 03 2010 - Fluorescein Angiography

Fluorescein angiogram shows early leakage

Late phase of an angiogram (ultra-widefield photograph magnification) demonstrates late leakage

Late phase of an angiogram (ultra-widefield photograph magnification) demonstrates late leakage

19 03 2010 - OCT B-Scan (Longitudinal)

Note the macular edema

OCT horizontal line-scan shows macular edema

OCT horizontal line-scan shows macular edema

4th evaluation

9 0

17 02 2012 - Autofluorescence

17 02 2012 - Colour Retinography

Two years after branch retinal vein occlusion. VA: 20/50 LE

17 02 2012 - Infrared

17 02 2012 - OCT B-Scan (Longitudinal)

2 years after branch retinal vein occlusion. VA 20/50 LE

2 years after branch retinal vein occlusion. VA 20/50 LE

17 02 2012 - Red-free

Centro Cirúrgico de Coimbra

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Centro Cirúrgico de Coimbra

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