BRVO CASE STUDIES

Select Case

Patient Profile
AGE

18 years old

Gender

Male

Last
Eye Exam

Two months ago

Current
Rx

Not provided

Medical
History

Personal ocular history was unremarkable.

Chief
Complaint

Broken glasses

Uncorrected
Visual Distance

20/25 in each eye

EXAM PROTOCOL

His refraction resulted in best-corrected visual acuities of 20/25 in each eye. Fundus photography revealed unremarkable findings OD and superior vessel engorgement with hemorrhaging OS. It was suspected to be a branch retinal vein occlusion.

CONCLUSION

The patients exam was halted, and he was immediately referred for further evaluation by a retinal specialist.

PHOTOS

Blood Vessel Engorgement and Hemorrhage (Suspected Branch retinal vein occlusion)

EXAM EQUIPMENT
  • Topcon NW 400 Non-Mydriatic Retinal Camera
  • Oculus Easyfield C
  • Marco Ion Anterior Segment Slit Lamp Camera
  • Topcon SL-D2 Slit Lamp
  • 2020Now Eyelogic X2 Refraction System
  • Canon Tx-20 Auto tonometer
  • Topcon KR-1 Auto Tonometer and AutoKeratometer.
Patient Profile
AGE

62 years old

Gender

Female

Last
Eye Exam

Two years ago

Current
Rx

Not provided

Medical
History

Hypertension controlled by atenolol

Chief
Complaint

Would like a check up for an updated Rx

Uncorrected
Visual Distance

Not provided

EXAM PROTOCOL

Refraction revealed similar Rx to entering Rx, with hyperopia and presbyopia OU and astigmatism OD. BCVA was 20/20 OD, OS. Ocular examination revealed extensive hemorrhaging, exudates, and cotton wool spots in the superior arcades of the right eye consistent with a branch retinal vein occlusion. An inferior visual field defect was consistent with the retinal findings OD. Pingueculae were present OU as well as moderate nuclear sclerosis OU.

CONCLUSION

Due to extensive branch retinal vein occlusion in the right eye with associated visual field defect, the patient was urgently referred to an ophthalmologist for treatment.

PHOTOS

Branch retinal vein occlusion OD

EXAM EQUIPMENT
  • Topcon NW 400 Non-Mydriatic Retinal Camera
  • Oculus Easyfield C
  • Marco Ion Anterior Segment Slit Lamp Camera
  • Topcon SL-D2 Slit Lamp
  • 2020Now Eyelogic X2 Refraction System
  • Canon Tx-20 Auto tonometer
  • Topcon KR-1 Auto Tonometer and AutoKeratometer.