Treatment of Branch Retinal Vein Occlusion with Macular Edema and Decreased Visual Acuity
This page covers the management approach for branch retinal vein occlusion presenting with a perfused macula, perfused retinal periphery, reduced visual acuity, and macular edema.
Clinical Scenario
Both the macula and retinal periphery are perfused. Visual acuity is decreased and macular edema is present — a combination in which visual acuity plays an important role in determining appropriate therapy.
Treatment Approach
In this setting, intravitreal anti-VEGF therapy is a primary intervention. Intravitreal corticosteroid options may also be considered as an alternative approach.
Full regimen details, sequencing, and complete selection criteria are available in the structured protocol below.
References
DOI: 10.3109/08820538.2013.833271
If macula and periphery are perfused, VA plays an important role for therapy options.
If VA is decreased and macular edema exists, in the era of anti-VEGF treatment, one can choose among intravitreal anti-VEGF agents.
Another option could be intravitreal corticosteroids, either IVT or dexamethasone implant.
View source ↗