Effect of Alternate Treatment with Intravitreal Corticosteroid and Anti-VEGF for Macular Edema Secondary to Retinal Vein Occlusion

Figure 4

An 82-year-old woman with macular edema secondary to branch retinal vein occlusion alternately treated with intravitreal anti-vascular endothelial growth factor and corticosteroid. Serial changes on optical coherence tomography B scans, with visual acuity (VA, logMAR) and central macula thickness of the left eye. (A) Cystoid macular edema (CME) was noted. An intravitreal bevacizumab injection (IVB) was administered. (B) One month later, VA and CME had improved. IVB was repeated. (C) Three months later, an intravitreal sustained-release dexamethasone implant injection (IVD) was administered because of the aggravation of VA and CME. (D) Improvement in VA and CME was noted 1 month later. (E) Three months later, IVB was administered due to aggravation of VA and CME. (F) Two months later, VA and CME had improved. (G) One month later, IVD was administered depending on VA and CME aggravation. (H) One month later, VA and CME had improved. CF = counting finger.

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