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RETINAL VEIN OCCLUSION

Wills Eye retina doctors are leading experts in the treatment of retinal vein occlusion with the latest clinical trials and new therapeutic approaches for this disease.

What is Retinal Vein Occlusion
Types of Retinal Vein Occlusion
Causes
Treatments
Research
Retina Doctors

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RVO Treatments
Treatments for Retinal Vein Occlusion
CRVO

A few patients, with time, have a spontaneous improvement in vision. In most cases, however, the vision remains the same or worsens without treatment. The ultimate visual outcome cannot be predicted for anyone. In general, the more severe the occlusion and associated macular edema, the less likely the vision will improve spontaneously.
 
Treatment options proven to be effective in reducing macula edema and improving vision to some degree include medicines injected into the eye such as VEGF blockers (Lucentis and Avastin) and steroids (Triamcinolone and Ozurdex). Laser, eye drops, and glasses do not help to improve vision.

BRVO

While BRVO cannot be cured, there are effective treatments that can help patients maintain or improve their visual outcome by reducing the associated macular edema. Treatment options include intravitreal injection (injection of medicine into the eye) and laser.
 
Intravitreal injection of vascular endothelial growth factor (VEGF) inhibitors such as Lucentis (FDA approved), Eylea (FDA approved), and Avastin (used off-label) or steroids such as triamcinolone and Ozurdex (FDA approved) can help maintain or improve vision.
 
Laser is sometimes used to treat macular edema but is now considered a second-line treatment for most cases based on visual outcomes and limitations. For instance, if there is significant hemorrhage in the retina, laser cannot be performed until the hemorrhage resolves spontaneously, which may take a few months.