Chapter 5

Case 5-3. Resolved Branch Retinal Vein Occlusion

Clinical Summary

A 40-year-old man with a history of high blood pressure noted blurry vision in his left eye. On examination (A), he was found to have a resolving inferotemporal branch retinal vein obstruction associated with a mild decrease in visual acuity to 20/30. On a follow-up visit nine months later, there was no evidence of an active vein occlusion* Slit-lamp biomicroscopy (B) showed fine telangiectatic vessels in the macular region, but no macular edema.

Optical Coherence Tomography

A vertical OCT tomogram (C) through fixation disclosed mild macular thickening immediately inferior to but not involving the fovea* The difference between the retinal thickness measured at symmetrical points inferior and superior to the center was 100 \xm.

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