Last additions - Twig Branch Retinal Vein Occlusion (small) 39-year-old man has a macular branch retinal vein occlusion with macular edema. He had an excellent response to Lucentis treatments between October and March. I tapered his visits a little and he feels his vision is stable since he was here last March 21st.
VISUAL ACUITY: OD 20/40. IOP: 17. The lens is clear.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.2. There is a macular branch retinal vein occlusion with edema.
OCT SCAN: The OCT scan shows an average central foveal thickness of 252 microns with a volume of 8.7 mm3. Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAPHY: Fluorescein angiography shows a twig macular branch retinal vein occlusion with edema and leakage from the retinal vessels in the late frames and some non perfusion.
IMPRESSION:
1. MACULAR BRANCH RETINAL VEIN OCCLUSION – RIGHT EYE
2. MACULAR EDEMA – RIGHT EYE
3. PREVIOUS EXCELLENT RESPONSE TO LUCENTIS
DISCUSSION: I explained to the patient with extended treatment interval, unfortunately the macular edema has recurred.
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Twig Branch Retinal Vein Occlusion - Recurrent Macular Edema with extended interval Lucentis Therapy after first 6 monthly Injections692 views39-year-old man has a macular branch retinal vein occlusion with macular edema. He had an excellent response to Lucentis for his first 6 treatments. He was last here 6 weeks ago and his vision seems OK to him. OD 20/40. Jan 17, 2012
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Twig Branch Retinal Vein Occlusion - Recurrent Macular Edema with extended interval Lucentis Therapy after first 6 monthly Injections691 views39-year-old man has a macular branch retinal vein occlusion with macular edema. He had an excellent response to Lucentis for his first 6 treatments. He was last here 6 weeks ago and his vision seems OK to him. OD 20/40. Jan 17, 2012
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Twig Branch Retinal Vein Occlusion - Recurrent Macular Edema with extended interval Lucentis Therapy after first 6 monthly Injections598 views39-year-old man has a macular branch retinal vein occlusion with macular edema. He had an excellent response to Lucentis for his first 6 treatments. He was last here 6 weeks ago and his vision seems OK to him. OD 20/40. Jan 17, 2012
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Twig Branch Retinal Vein Occlusion - Recurrent Macular Edema with extended interval Lucentis Therapy after first 6 monthly Injections696 views39-year-old man has a macular branch retinal vein occlusion with macular edema. He had an excellent response to Lucentis for his first 6 treatments. He was last here 6 weeks ago and his vision seems OK to him. OD 20/40. Jan 17, 2012
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Twig Branch Retinal Vein Occlusion - Recurrent Macular Edema with extended interval Lucentis Therapy after first 6 monthly Injections550 views39-year-old man has a macular branch retinal vein occlusion with macular edema. He had an excellent response to Lucentis for his first 6 treatments. He was last here 6 weeks ago and his vision seems OK to him. OD 20/40. Jan 17, 2012
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Twig Branch Retinal Vein Occlusion - Recurrent Macular Edema with extended interval Lucentis Therapy after first 6 monthly Injections639 views39-year-old man has a macular branch retinal vein occlusion with macular edema. He had an excellent response to Lucentis for his first 6 treatments. He was last here 6 weeks ago and his vision seems OK to him. OD 20/40. Jan 17, 2012
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Twig Branch Retinal Vein Occlusion - Recurrent Macular Edema with extended interval Lucentis Therapy after first 6 monthly Injections737 views39-year-old man has a macular branch retinal vein occlusion with macular edema. He had an excellent response to Lucentis for his first 6 treatments. He was last here 6 weeks ago and his vision seems OK to him. OD 20/40. Jan 17, 2012
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Twig Branch Retinal Vein Occlusion - Recurrent Macular Edema with extended interval Lucentis Therapy after first 6 monthly Injections611 views39-year-old man has a macular branch retinal vein occlusion with macular edema. He had an excellent response to Lucentis for his first 6 treatments. He was last here 6 weeks ago and his vision seems OK to him. OD 20/40. Jan 17, 2012
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Twig Branch Retinal Vein Occlusion - Recurrent Macular Edema with extended interval Lucentis Therapy after first 6 monthly Injections699 views39-year-old man has a macular branch retinal vein occlusion with macular edema. He had an excellent response to Lucentis for his first 6 treatments. He was last here 6 weeks ago and his vision seems OK to him. OD 20/40. Jan 17, 2012
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Twig Branch Retinal Vein Occlusion - Recurrent Macular Edema with extended interval Lucentis Therapy after first 6 monthly Injections905 views39-year-old man has a macular branch retinal vein occlusion with macular edema. He had an excellent response to Lucentis for his first 6 treatments. He was last here 6 weeks ago and his vision seems OK to him. OD 20/40. Jan 17, 2012
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Twig Branch Retinal Vein Occlusion - Recurrent Macular Edema with extended interval Lucentis Therapy after first 6 monthly Injections945 views39-year-old man has a macular branch retinal vein occlusion with macular edema. He had an excellent response to Lucentis for his first 6 treatments. He was last here 6 weeks ago and his vision seems OK to him. OD 20/40. Jan 17, 2012
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Twig Branch Retinal Vein Occlusion - Recurrent Macular Edema with extended interval Lucentis Therapy after first 6 monthly Injections1346 views39-year-old man has a macular branch retinal vein occlusion with macular edema. He had an excellent response to Lucentis for his first 6 treatments. He was last here 6 weeks ago and his vision seems OK to him. OD 20/40. Jan 17, 2012
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39-year-old man has a macular branch retinal vein occlusion with macular edema. He had an excellent response to Lucentis treatments between October and March. I tapered his visits a little and he feels his vision is stable since he was here last March 21st.
VISUAL ACUITY: OD 20/40. IOP: 17. The lens is clear.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.2. There is a macular branch retinal vein occlusion with edema.
OCT SCAN: The OCT scan shows an average central foveal thickness of 252 microns with a volume of 8.7 mm3. Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAPHY: Fluorescein angiography shows a twig macular branch retinal vein occlusion with edema and leakage from the retinal vessels in the late frames and some non perfusion.
IMPRESSION:
1. MACULAR BRANCH RETINAL VEIN OCCLUSION – RIGHT EYE
2. MACULAR EDEMA – RIGHT EYE
3. PREVIOUS EXCELLENT RESPONSE TO LUCENTIS
DISCUSSION: I explained to the patient with extended treatment interval, unfortunately the macular edema has recurred.