title: Recalcitrant cystoid macular oedema in an eye with ischaemic central retinal vein occlusion - what's next?
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.
authors.affiliation: Universiti Kebangsaan Malaysia Medical Centre, Department of Ophthalmology, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia. yongmenghsien@gmail.com.
authors.forename: M H
authors.initials: MH
authors.lastname: Yong
authors.affiliation: Universiti Kebangsaan Malaysia Medical Centre, Department of Ophthalmology, 56000 Cheras, Kuala Lumpur, Malaysia.
authors.forename: A
authors.initials: A
authors.lastname: Amin
authors.affiliation: Universiti Kebangsaan Malaysia Medical Centre, Department of Ophthalmology, 56000 Cheras, Kuala Lumpur, Malaysia.
authors.forename: M
authors.initials: M
authors.lastname: Mushawiahti
authors.affiliation: Universiti Kebangsaan Malaysia Medical Centre, Department of Ophthalmology, 56000 Cheras, Kuala Lumpur, Malaysia.
authors.forename: M L C
authors.initials: ML
authors.lastname: Bastion