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CRVO and CME treated with intravitreal Kenalog 49 Year Old Woman 49-year-old woman has central retinal vein occlusion right eye with fluctuating vision and then recently her vision declined and she developed macular edema. I was worried about her angle and you were kind enough to do a peripheral iridotomy and I am dilating her today. Her vision is still poor. VISUAL ACUITY: OD 20/100. IOP: OD 20. There is a peripheral iridotomy, lens is clear, there is no rubeosis. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.1. There is 2+ optic nerve edema, 3+ cystoid macular edema. The retinal veins are dilated in all 4 quadrants. The photos confirm clinical findings. Fluorescein angiogram shows some substantial delay in the venous circulation time with no non-profusion. IMPRESSION: 1. PERFUSED CENTRAL RETINAL VEIN OCCLUSION RIGHT EYE. 2. MACULAR EDEMA IN THE RIGHT EYE. DISCUSSION: I explained to the patient that with intravitreal Kenalog there is about an 80% chance of drying up the macula and improving the vision. There is a risk of cataract and glaucoma and a very low risk of infection. I injected the eye today without difficulty with the Kenalog.
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vista 530 veces (0 votos)	vista 518 veces49-year-old woman has central retinal vein occlusion right eye with fluctuating vision for a few month now with OD 20/100. IOP: OD 20 (0 votos)	vista 461 veces49-year-old woman has central retinal vein occlusion right eye with fluctuating vision for a few month now with OD 20/100. IOP: OD 20 (0 votos)	vista 587 veces49-year-old woman has central retinal vein occlusion right eye with fluctuating vision for a few month now with OD 20/100. IOP: OD 20 (0 votos)
vista 546 veces49-year-old woman has central retinal vein occlusion right eye with fluctuating vision for a few month now with OD 20/100. IOP: OD 20 (0 votos)	vista 517 veces49-year-old woman has central retinal vein occlusion right eye with fluctuating vision for a few month now with OD 20/100. IOP: OD 20 (0 votos)	vista 640 veces49-year-old woman has central retinal vein occlusion right eye with fluctuating vision for a few month now with OD 20/100. IOP: OD 20 (1 votos)	vista 503 veces49-year-old woman has central retinal vein occlusion right eye with fluctuating vision for a few month now with OD 20/100. IOP: OD 20 (0 votos)
vista 490 veces49-year-old woman has central retinal vein occlusion right eye with fluctuating vision for a few month now with OD 20/100. IOP: OD 20 (0 votos)	vista 502 veces49-year-old woman has central retinal vein occlusion right eye with fluctuating vision for a few month now with OD 20/100. IOP: OD 20 (0 votos)	vista 467 veces49-year-old woman has central retinal vein occlusion right eye with fluctuating vision for a few month now with OD 20/100. IOP: OD 20 (0 votos)	vista 514 veces49-year-old woman has central retinal vein occlusion right eye with fluctuating vision for a few month now with OD 20/100. IOP: OD 20 (0 votos)
vista 525 veces49-year-old woman has central retinal vein occlusion right eye with fluctuating vision for a few month now with OD 20/100. IOP: OD 20 (0 votos)	vista 479 veces49-year-old woman has central retinal vein occlusion right eye with fluctuating vision for a few month now with OD 20/100. IOP: OD 20 (0 votos)	vista 453 veces49-year-old woman has central retinal vein occlusion right eye with fluctuating vision for a few month now with OD 20/100. IOP: OD 20 (0 votos)	vista 509 veces49-year-old woman has central retinal vein occlusion right eye with fluctuating vision for a few month now with OD 20/100. IOP: OD 20 (0 votos)
vista 477 veces49-year-old woman has central retinal vein occlusion right eye with fluctuating vision for a few month now with OD 20/100. IOP: OD 20 (0 votos)	vista 470 veces49-year-old woman has central retinal vein occlusion right eye with fluctuating vision for a few month now with OD 20/100. IOP: OD 20 (0 votos)	vista 508 veces49-year-old woman has central retinal vein occlusion right eye with fluctuating vision for a few month now with OD 20/100. IOP: OD 20 (0 votos)	vista 476 veces49-year-old woman has central retinal vein occlusion right eye with fluctuating vision for a few month now with OD 20/100. IOP: OD 20 (0 votos)
vista 544 veces49-year-old woman has central retinal vein occlusion right eye with fluctuating vision for a few month now with OD 20/100. IOP: OD 20 (0 votos)	vista 514 veces49-year-old woman has central retinal vein occlusion right eye with fluctuating vision for a few month now with OD 20/100. IOP: OD 20 (0 votos)	vista 522 veces49-year-old woman has central retinal vein occlusion right eye with fluctuating vision for a few month now with OD 20/100. IOP: OD 20 (0 votos)	vista 555 veces49-year-old woman has central retinal vein occlusion right eye with fluctuating vision for a few month now with OD 20/100. IOP: OD 20 (0 votos)
vista 565 veces49-year-old woman has central retinal vein occlusion right eye with fluctuating vision for a few month now with OD 20/100. IOP: OD 20 (0 votos)	vista 552 veces49-year-old woman has central retinal vein occlusion right eye with fluctuating vision for a few month now with OD 20/100. IOP: OD 20 (0 votos)
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49-year-old woman has central retinal vein occlusion right eye with fluctuating vision and then recently her vision declined and she developed macular edema. I was worried about her angle and you were kind enough to do a peripheral iridotomy and I am dilating her today. Her vision is still poor. VISUAL ACUITY: OD 20/100. IOP: OD 20. There is a peripheral iridotomy, lens is clear, there is no rubeosis. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.1. There is 2+ optic nerve edema, 3+ cystoid macular edema. The retinal veins are dilated in all 4 quadrants. The photos confirm clinical findings. Fluorescein angiogram shows some substantial delay in the venous circulation time with no non-profusion. IMPRESSION: 1. PERFUSED CENTRAL RETINAL VEIN OCCLUSION RIGHT EYE. 2. MACULAR EDEMA IN THE RIGHT EYE. DISCUSSION: I explained to the patient that with intravitreal Kenalog there is about an 80% chance of drying up the macula and improving the vision. There is a risk of cataract and glaucoma and a very low risk of infection. I injected the eye today without difficulty with the Kenalog.