Multiple Branch Retinal Vein Occlusions in the Same Eye and Bilateral Branch Retinal Vein Occlusions

Fundus images of a 66 year old, hypertensive man with a history of coronary artery disease who was seen in 2008 with a history of one month of blurred vision of the right eye. At presentation he had three independent BRVOs in two eyes. A - Monochromatic fundus photograph of the right eye shows a fresh superotemporal branch retinal vein occlusion (turquoise arrow) and an unsuspected, old inferotemporal BRVO (yellow arrow). B - Monochromatic fundus photograph of the left eye shows an unsuspected, old superonasal macular BRVO (yellow oval) C - Frame from the late phase fluorescein angiogram of the right eye shows no hyperpermeability of the retinal venules and capillaries associated with the right eye inferotemporal BRVO (yellow oval) but prominent hyperpermeability of the capillaries associated with the superotemporal BRVO (turquoise oval). D - Frame from the late phase fluorescein angiogram of the left eye showing a focus of hyperpermeable capillaries associated with the superonasal macular branch retinal vein occlusion.