BRVO with cotton wool spot
|
|
70-year-old man was seen in the office on 6/29/2010. He has had blurred vision in the right eye for about one or two months. You saw a problem with macular edema and branch retinal vein occlusion and suggested he come here for an evaluation. He has high blood pressure for which he takes medications.
VISUAL ACUITY: Vision OD is 20/80, OS is 20/25. IOP: OD 11, OS 19.
AMSLER GRID: Normal in both eyes.
SLIT LAMP EXAM: There is 2+ nuclear sclerosis in both eyes.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.2. There is no posterior vitreous separation. There is a superotemporal macular branch retinal vein occlusion with 2+ macular edema.
OS: Vertical C/D ratio is 0.2. There is a posterior vitreous separation, 1+ macular drusen, and 2+ equatorial drusen. There are also 2+ arteriovenous crossing changes.
OCT SCAN: The OCT scan shows macular edema in the right eye. The left eye has a normal central foveal thickness. The average central foveal thickness in the right eye is 418 microns. Also, there is a serous macular detachment in the right eye.
PHOTOGRAPHS: Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAPHY: FA shows superotemporal macular branch retinal vein occlusion in the right eye. There are some areas of nonperfusion near the fovea and there is leakage in the fovea in the late frames. The right eye has a few staining drusen.
IMPRESSION:
1. MILD MACULAR DEGENERATION – LEFT EYE
2. MACULAR BRANCH RETINAL VEIN OCCLUSION – RIGHT EYE
3. MACULAR EDEMA – RIGHT EYE
4. CATARACTS
DISCUSSION: I explained to the patient there is a branch retinal vein occlusion in the right eye. There is about a 50% chance this will start to improve on its own. If it does not, then treatment would be reasonable to consider, either with laser, injections, or both.
|
Branch Retinal Vein Occlusion with Cotton Wool Spot vista 475 veces70-year-old man with blurred vision in the right eye for about one or two months. OD is 20/80, OS is 20/25.
(0 votos)
|
|
Branch Retinal Vein Occlusion with Cotton Wool Spot vista 550 veces70-year-old man with blurred vision in the right eye for about one or two months. OD is 20/80, OS is 20/25.
(0 votos)
|
|
Branch Retinal Vein Occlusion with Cotton Wool Spot vista 551 veces70-year-old man with blurred vision in the right eye for about one or two months. OD is 20/80, OS is 20/25.
(0 votos)
|
|
Branch Retinal Vein Occlusion with Cotton Wool Spot vista 476 veces70-year-old man with blurred vision in the right eye for about one or two months. OD is 20/80, OS is 20/25.
(0 votos)
|
|
Branch Retinal Vein Occlusion with Cotton Wool Spot vista 469 veces70-year-old man with blurred vision in the right eye for about one or two months. OD is 20/80, OS is 20/25.
(0 votos)
|
|
Branch Retinal Vein Occlusion with Cotton Wool Spot vista 466 veces70-year-old man with blurred vision in the right eye for about one or two months. OD is 20/80, OS is 20/25.
(0 votos)
|
|
Branch Retinal Vein Occlusion with Cotton Wool Spot vista 401 veces70-year-old man with blurred vision in the right eye for about one or two months. OD is 20/80, OS is 20/25.
(0 votos)
|
|
Branch Retinal Vein Occlusion with Cotton Wool Spot vista 417 veces70-year-old man with blurred vision in the right eye for about one or two months. OD is 20/80, OS is 20/25.
(0 votos)
|
|
Branch Retinal Vein Occlusion with Cotton Wool Spot vista 425 veces70-year-old man with blurred vision in the right eye for about one or two months. OD is 20/80, OS is 20/25.
(0 votos)
|
|
Branch Retinal Vein Occlusion with Cotton Wool Spot vista 451 veces70-year-old man with blurred vision in the right eye for about one or two months. OD is 20/80, OS is 20/25.
(0 votos)
|
|
Branch Retinal Vein Occlusion with Cotton Wool Spot vista 397 veces70-year-old man with blurred vision in the right eye for about one or two months. OD is 20/80, OS is 20/25.
(0 votos)
|
|
Branch Retinal Vein Occlusion with Cotton Wool Spot vista 404 veces70-year-old man with blurred vision in the right eye for about one or two months. OD is 20/80, OS is 20/25.
(0 votos)
|
|
Branch Retinal Vein Occlusion with Cotton Wool Spot vista 454 veces70-year-old man with blurred vision in the right eye for about one or two months. OD is 20/80, OS is 20/25.
(0 votos)
|
|
Branch Retinal Vein Occlusion with Cotton Wool Spot vista 400 veces70-year-old man with blurred vision in the right eye for about one or two months. OD is 20/80, OS is 20/25.
(0 votos)
|
|
Branch Retinal Vein Occlusion with Cotton Wool Spot vista 434 veces70-year-old man with blurred vision in the right eye for about one or two months. OD is 20/80, OS is 20/25.
(0 votos)
|
|
Branch Retinal Vein Occlusion with Cotton Wool Spot vista 426 veces70-year-old man with blurred vision in the right eye for about one or two months. OD is 20/80, OS is 20/25.
(0 votos)
|
|
| 16 archivos en 1 página(s) |
|
70-year-old man was seen in the office on 6/29/2010. He has had blurred vision in the right eye for about one or two months. You saw a problem with macular edema and branch retinal vein occlusion and suggested he come here for an evaluation. He has high blood pressure for which he takes medications.
VISUAL ACUITY: Vision OD is 20/80, OS is 20/25. IOP: OD 11, OS 19.
AMSLER GRID: Normal in both eyes.
SLIT LAMP EXAM: There is 2+ nuclear sclerosis in both eyes.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.2. There is no posterior vitreous separation. There is a superotemporal macular branch retinal vein occlusion with 2+ macular edema.
OS: Vertical C/D ratio is 0.2. There is a posterior vitreous separation, 1+ macular drusen, and 2+ equatorial drusen. There are also 2+ arteriovenous crossing changes.
OCT SCAN: The OCT scan shows macular edema in the right eye. The left eye has a normal central foveal thickness. The average central foveal thickness in the right eye is 418 microns. Also, there is a serous macular detachment in the right eye.
PHOTOGRAPHS: Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAPHY: FA shows superotemporal macular branch retinal vein occlusion in the right eye. There are some areas of nonperfusion near the fovea and there is leakage in the fovea in the late frames. The right eye has a few staining drusen.
IMPRESSION:
1. MILD MACULAR DEGENERATION – LEFT EYE
2. MACULAR BRANCH RETINAL VEIN OCCLUSION – RIGHT EYE
3. MACULAR EDEMA – RIGHT EYE
4. CATARACTS
DISCUSSION: I explained to the patient there is a branch retinal vein occlusion in the right eye. There is about a 50% chance this will start to improve on its own. If it does not, then treatment would be reasonable to consider, either with laser, injections, or both.
