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Most viewed - CRVO Hemorrhage 66-year-old woman has a central retinal vein occlusion in the right eye with macular edema. She had intravitreal Lucentis treatments monthly. The last treatment was six weeks ago and she has noticed over the last week or two her vision is declining. VISUAL ACUITY: OD 20/70, OS 20/30. IOP: OD 17. The right eye has 2+ nuclear sclerotic cataract. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.1. There are optociliary shunt vessels on the optic nerve. There is 2+ cystoid macular edema. There are patchy retinal hemorrhages and dilated retinal veins. OCT SCAN: The OCT scan shows recurrent macular edema. Photos confirm clinical findings. FLUORESCEIN ANGIOGRAM: Shows temporal nonperfusion almost up to the center of the fovea. IMPRESSION: 1. CENTRAL RETINAL VEIN OCCLUSION – RIGHT EYE 2. RESOLVED MACULAR EDEMA – RIGHT EYE 3. PERIPHERAL NONPERFUSION – RIGHT EYE DISCUSSION: I explained to the patient with the recurrent macular edema, I think it is reasonable to restart Lucentis treatment, but also supplement laser to try to prevent recurrence again. I did a focal laser today trying to create a chorioretinal anastomosis. I asked her to return in a week for a Lucentis treatment and subsequent to that I will add a panretinal laser, especially the temporal periphery.
Central Retinal Vein Occlusion Recurrent Edema 6 weeks after Lucentis - Nonperfusion Temporally766 views66-year-old woman has a central retinal vein occlusion in the right eye with macular edema. She had intravitreal Lucentis treatment six weeks ago and she has noticed over the last week or two her vision is declining. VISUAL ACUITY: OD 20/70, OS 20/30.	Central Retinal Vein Occlusion Recurrent Edema 6 weeks after Lucentis - Nonperfusion Temporally666 views66-year-old woman has a central retinal vein occlusion in the right eye with macular edema. She had intravitreal Lucentis treatment six weeks ago and she has noticed over the last week or two her vision is declining. VISUAL ACUITY: OD 20/70, OS 20/30.	Central Retinal Vein Occlusion Recurrent Edema 6 weeks after Lucentis - Nonperfusion Temporally636 views66-year-old woman has a central retinal vein occlusion in the right eye with macular edema. She had intravitreal Lucentis treatment six weeks ago and she has noticed over the last week or two her vision is declining. VISUAL ACUITY: OD 20/70, OS 20/30.	Central Retinal Vein Occlusion Recurrent Edema 6 weeks after Lucentis - Nonperfusion Temporally598 views66-year-old woman has a central retinal vein occlusion in the right eye with macular edema. She had intravitreal Lucentis treatment six weeks ago and she has noticed over the last week or two her vision is declining. VISUAL ACUITY: OD 20/70, OS 20/30.
Central Retinal Vein Occlusion Recurrent Edema 6 weeks after Lucentis - Nonperfusion Temporally570 views66-year-old woman has a central retinal vein occlusion in the right eye with macular edema. She had intravitreal Lucentis treatment six weeks ago and she has noticed over the last week or two her vision is declining. VISUAL ACUITY: OD 20/70, OS 20/30.	Central Retinal Vein Occlusion Recurrent Edema 6 weeks after Lucentis - Nonperfusion Temporally556 views66-year-old woman has a central retinal vein occlusion in the right eye with macular edema. She had intravitreal Lucentis treatment six weeks ago and she has noticed over the last week or two her vision is declining. VISUAL ACUITY: OD 20/70, OS 20/30.	Central Retinal Vein Occlusion Recurrent Edema 6 weeks after Lucentis - Nonperfusion Temporally528 views66-year-old woman has a central retinal vein occlusion in the right eye with macular edema. She had intravitreal Lucentis treatment six weeks ago and she has noticed over the last week or two her vision is declining. VISUAL ACUITY: OD 20/70, OS 20/30.	Central Retinal Vein Occlusion Recurrent Edema 6 weeks after Lucentis - Nonperfusion Temporally522 views66-year-old woman has a central retinal vein occlusion in the right eye with macular edema. She had intravitreal Lucentis treatment six weeks ago and she has noticed over the last week or two her vision is declining. VISUAL ACUITY: OD 20/70, OS 20/30.
Central Retinal Vein Occlusion Recurrent Edema 6 weeks after Lucentis - Nonperfusion Temporally494 views66-year-old woman has a central retinal vein occlusion in the right eye with macular edema. She had intravitreal Lucentis treatment six weeks ago and she has noticed over the last week or two her vision is declining. VISUAL ACUITY: OD 20/70, OS 20/30.	Central Retinal Vein Occlusion Recurrent Edema 6 weeks after Lucentis - Nonperfusion Temporally493 views66-year-old woman has a central retinal vein occlusion in the right eye with macular edema. She had intravitreal Lucentis treatment six weeks ago and she has noticed over the last week or two her vision is declining. VISUAL ACUITY: OD 20/70, OS 20/30.	Central Retinal Vein Occlusion Recurrent Edema 6 weeks after Lucentis - Nonperfusion Temporally479 views66-year-old woman has a central retinal vein occlusion in the right eye with macular edema. She had intravitreal Lucentis treatment six weeks ago and she has noticed over the last week or two her vision is declining. VISUAL ACUITY: OD 20/70, OS 20/30.	Central Retinal Vein Occlusion Recurrent Edema 6 weeks after Lucentis - Nonperfusion Temporally460 views66-year-old woman has a central retinal vein occlusion in the right eye with macular edema. She had intravitreal Lucentis treatment six weeks ago and she has noticed over the last week or two her vision is declining. VISUAL ACUITY: OD 20/70, OS 20/30.
Central Retinal Vein Occlusion Recurrent Edema 6 weeks after Lucentis - Nonperfusion Temporally459 views66-year-old woman has a central retinal vein occlusion in the right eye with macular edema. She had intravitreal Lucentis treatment six weeks ago and she has noticed over the last week or two her vision is declining. VISUAL ACUITY: OD 20/70, OS 20/30.	Central Retinal Vein Occlusion Recurrent Edema 6 weeks after Lucentis - Nonperfusion Temporally453 views66-year-old woman has a central retinal vein occlusion in the right eye with macular edema. She had intravitreal Lucentis treatment six weeks ago and she has noticed over the last week or two her vision is declining. VISUAL ACUITY: OD 20/70, OS 20/30.	Central Retinal Vein Occlusion Recurrent Edema 6 weeks after Lucentis - Nonperfusion Temporally447 views66-year-old woman has a central retinal vein occlusion in the right eye with macular edema. She had intravitreal Lucentis treatment six weeks ago and she has noticed over the last week or two her vision is declining. VISUAL ACUITY: OD 20/70, OS 20/30.
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66-year-old woman has a central retinal vein occlusion in the right eye with macular edema. She had intravitreal Lucentis treatments monthly. The last treatment was six weeks ago and she has noticed over the last week or two her vision is declining. VISUAL ACUITY: OD 20/70, OS 20/30. IOP: OD 17. The right eye has 2+ nuclear sclerotic cataract. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.1. There are optociliary shunt vessels on the optic nerve. There is 2+ cystoid macular edema. There are patchy retinal hemorrhages and dilated retinal veins. OCT SCAN: The OCT scan shows recurrent macular edema. Photos confirm clinical findings. FLUORESCEIN ANGIOGRAM: Shows temporal nonperfusion almost up to the center of the fovea. IMPRESSION: 1. CENTRAL RETINAL VEIN OCCLUSION – RIGHT EYE 2. RESOLVED MACULAR EDEMA – RIGHT EYE 3. PERIPHERAL NONPERFUSION – RIGHT EYE DISCUSSION: I explained to the patient with the recurrent macular edema, I think it is reasonable to restart Lucentis treatment, but also supplement laser to try to prevent recurrence again. I did a focal laser today trying to create a chorioretinal anastomosis. I asked her to return in a week for a Lucentis treatment and subsequent to that I will add a panretinal laser, especially the temporal periphery.