Branch Retinal Vein Occlusion with Retinal and Disk Neovascularization

Fundus images of a 62 year old female seen for a horseshoe retinal tear of the left eye and incidentally discovered to have a superotemporal branch retinal vein occlusion with neovascularization of the optic disk and the retina. It is not uncommon for a branch retinal vein occlusion not involving the macula to be asymptomatic. A - Mosaic fundus photograph shows the sheathed veins and ghost vein (blue arrow) superotemporally. Tufts of retinal new vessels are present at the border of ischemic and perfused retina (turquoise arrows). Elevated disk neovascularization is denoted by the black arrow. B - A frame from the mid phase fluorescein angiogram shows the nonperfused vein (blue arrow) and the hyperfluorescent tufts of new vessels which emanate from border zone arterioles and the optic disk (yellow arrows). C - A frame from the late phase fluorescein angiogram shows leakage of fluorescein from the new vessels (yellow arrows). The patient was treated with sector laser panretinal photocoagulation.