Clinical Case 1

RETINAL VASCULAR DISEASES

Central Retinal Vein Occlusion - Clinical Case 1

o01-ti02-2138876-20100903-999

Ultra-widefield photograph of central retinal vein occlusion in a 60-years-old male patient. The disc is edematous. There are areas of hemorrhage in all quandrants and multiple flame-shaped hemorrhages in the posterior pole.

Retinography 4 months after intravitreal injection of dexamethasone implant. Visual acuity: 20/200 RE.

Evaluations

1st Evaluation - 03 09 2010

Fluorescein Angiography

Fluorescein angiogram in the acute phase showing multiple hypofluorescent areas due to blockage by intraretinal hemorrhages.

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Anterior Segment Photo

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Colour retinography

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2nd Evaluation - 24 09 2010

Autofluorescence

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Infrared

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Red-free

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OCT (B-Scan) longitudinal

Severe macular edema. Patient received an intravitreal injection of bevacizumab.

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Colour retinography

Edematous disc, areas of hemorrhage in all quandrants, cotton-woll spots and multiple flame-shaped hemorrhage in the posterior pole. Patient received an intravitreal injection of bevacizumab.

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Tonometry

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3rd Evaluation - 07 12 2010

Autofluorescence

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Infrared

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Red-free

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OCT (B-Scan) longitudinal

Macular edema and exudative retinal detachment.

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Colour retinography

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4th Evaluation - 21 02 2011

Fluorescein Angiography

Fluorescein angiogram at late phase showing multiple foci of exsudation.

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Autofluorescence

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Infrared

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Red-free

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OCT (B-Scan) longitudinal

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Colour retinography

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5th evaluation - 24 03 2011

Fluorescein Angiography

Visual acuity: 20/200 RE.

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Autofluorescence

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Infrared

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Red-free

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Anterior Segment Photo

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OCT (B-Scan) longitudinal

Reduction of cystoid macular edema after intraocular injection of dexamethasone.

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Colour retinography

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Tonometry

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6th evaluation - 26 04 2011

Autofluorescence

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Infrared

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Red-free

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Anterior Segment Photo

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OCT (B-Scan) longitudinal

OCT showing macular edema and vitreoretinal traction.

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Colour retinography

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7th Evaluation - 07 06 2011

Autofluorescence

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Infrared

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Red-free

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Biometry

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Microperimetry

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Colour retinography

View of dexamethasone intravitreal implant.

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8th Evaluation - 21 06 2011

Autofluorescence

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Infrared

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Red-free

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OCT (B-Scan) longitudinal

OCT line-scan showing macular edema and marked vitreoretinal traction.

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Colour retinography

Fundus photograph 4 months after intravitreal injection of dexamethasone implant. Visual acuity: 20/200 RE.

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Tonometry

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9th Evaluation - 12 02 2019

Autofluorescence

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Infrared

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Colour retinography

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RNFL – Thickness Image

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Anterior Segment Photo

VA: 20/200c RE, 20/25c LE. Cataract RE. Glaucoma.

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OCT (B-Scan) longitudinal

Atrophic maculopathy.

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