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Anti-VEGF treament > BRVO > Flashcards

Flashcards in BRVO Deck (11):
1

How must the BRVO diagnosis be confirmed prior to Anti-VEGF?

FFA if haem allows, if not, anti-VEGF anyway

2

What are the exclusion criteria for BRVO?

  • Active infection
  • Active neovasc
  • V/A <6/60
  • Macula oedema of greater than 18month duration
  • Stroke/heart attack or TIA in previous 3 months

3

What BRVO patients are suitable for anti-VEGF treatment?

  • With v/a <6/12 with clinically detectable macular oedema
  • Retinal thickness >250um (topcon), (300um, spectralis)

4

If at the 4th appoinment a BRVO patient has better vision that has plateaued and dry OCT what is the treamtent?

Treat and extend to 8 weeks.  Extend two weekly thereafter if dry until 12 weeks reached the treat PRN

5

A BRVO patient on a 12 week interval presents with new fluid what is the treament?

Treat and review again in 8 weeks.

6

A BRVO patient is seen 16 weeks after the last injection and is still dry what is the management?

Discuss with Med Ret consultant and discharge back to MR clinic

7

If at the 4th appointment there has been no improvement of va or fluid what is the mangement.

Non-responder to anti-VEGF, either switch to a different anti-VEGF or try Ozurdex

8

If at 4th appointment vision is still improving but has not plateaued what would be the management?

Inject and see 4 weekly until v/a has plateaued and OCT is dry then extend to 8 weeks.

9

If fluid occurs between injection intervals what is the clinical management.

Inject and reduce interval by 2 weeks unless at 12 week stage when reduced to 8 week

10

If a patient is on Lucentis and can not be extended beyond 8 weeks what is the treatment?

Submit therapy application to change to Eylea

11