Early Effects of Dexamethasone Implant on Macular Morphology and Visual Function in Patients with Macular Edema Secondary to Retinal Vein Occlusion

2014 ◽  
Vol 232 (3) ◽  
pp. 144-148 ◽  
Author(s):  
Daniele Veritti ◽  
Sara Macor ◽  
Paolo Lanzetta
Keyword(s):  
Macular Edema ◽  
Retinal Vein Occlusion ◽  
Visual Function ◽  
Dexamethasone Implant ◽  
Vein Occlusion ◽  
Early Effects

Combined central retinal vein occlusion and branch retinal artery occlusion treated with intravitreal dexamethasone implant: A case report

2020 ◽  
pp. 112067212090918
Author(s):  
Alessandro Arrigo ◽  
Karl Anders Knutsson ◽  
Firuzeh Rajabjan ◽  
Victor A Augustin ◽  
Francesco Bandello ◽  
...  
Keyword(s):  
Macular Edema ◽  
Retinal Vein Occlusion ◽  
Central Retinal Vein Occlusion ◽  
Retinal Artery Occlusion ◽  
Artery Occlusion ◽  
Branch Retinal Artery Occlusion ◽  
Dexamethasone Implant ◽  
Vein Occlusion ◽  
Retinal Artery ◽  
Central Retinal Vein

Purpose: To report a case of combined central retinal vein occlusion and branch retinal artery occlusion in a 51-year-old male with a very good response to dexamethasone implant therapy. Methods: This is a descriptive case report based on data from clinical records, patient observation and follow-ups, and analysis of acquired diagnostic tests. Results: A 51-year-old man presented with sudden vision loss and best-corrected visual acuity of 20/40 in his left eye. A pale inferotemporal arterial branch course area along with increased vascular tortuosity, retinal hemorrhages, optic disk swelling, and macular edema were observed on slit lamp biomicroscopy examination. Right eye was normal. Diagnosis of combined central retinal vein occlusion and branch retinal artery occlusion in left eye was confirmed by fluorescein angiography and color fundoscopy, respectively. Optical coherence tomography confirmed subretinal fluid and intraretinal cysts with a prominent middle-limiting membrane in the inner synaptic portion of the outer plexiform layer, corresponding to areas of paracentral acute middle maculopathy. Intravitreal dexamethasone implant was administered to the patient. One month later, visual acuity was recovered with complete absorption of macular edema. Functional and anatomical stabilization were confirmed after 24 months. Conclusion: Combined central retinal vein occlusion and branch retinal artery occlusion represents a rare condition, with variable functional outcomes due to the long-term complications such as macular edema. We hypothesize that prompt diagnosis and immediate intravitreal corticosteroid implant therapy reduced macular edema, thus contributing to arterial perfusion improvement, which in this case lead to a full sustainable recovery with limited functional and anatomical damage.

Intravitreal Ranibizumab and/or Dexamethasone Implant for Macular Edema Secondary to Retinal Vein Occlusion

2014 ◽  
Vol 232 (4) ◽  
pp. 216-222 ◽  
Author(s):  
Sylvia Nghiem-Buffet ◽  
Franck Fajnkuchen ◽  
Marc Buffet ◽  
Sandrine Ayrault ◽  
Anna Le Gloahec-Lorcy ◽  
...  
Keyword(s):  
Macular Edema ◽  
Retinal Vein Occlusion ◽  
Dexamethasone Implant ◽  
Intravitreal Ranibizumab ◽  
Vein Occlusion
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