Recalcitrant cystoid macular oedema in an eye with ischaemic central retinal vein occlusion- what's next?
- Author:
Meng Hsien Yong
;
Amin Ahem
;
Mushawiahti Mustapha
;
MaeLynn Catherine Bastion
- Publication Type:Case Reports
- From:
The Medical Journal of Malaysia
2015;70(6):358-360
- CountryMalaysia
- Language:English
-
Abstract:
We report a case of a middle-aged gentleman with
recalcitrant macular oedema (RMO) secondary to ischaemic
central retinal vein occlusion (CRVO). He was given six
injections of intravitreal ranibizumab (anti-VEGF) monthly.
However, his visual acuity (VA) deteriorated and the macular
oedema worsened. He then received an intravitreal
dexamethasone implant eight months post-CRVO. His VA
and macular oedema improved dramatically and
significantly at first follow-up and remained stable at six
months after implant.
This case can be a reference for those who treating
recalcitrant macular oedema. It shows the effect of an
intravitreal dexamathasone implant might have in a patient
with RMO due to CRVO. The patient enjoyed improvement of
vision, with clinical evidence of reduction in central macular
thickness (CMT) and with no serious adverse events after a
single injection up to six months post implant.
- Full text:P020160224461139810864.pdf