The Retina Reference

Two Simultaneous Hemicentral Retinal Vein Occlusions

Fundus images of the right eye of an 84 year-old woman with two asymptomatic, nonischemic central retinal vein occlusions of the right eye. A - Color fundus photograph of the right eye shows hemorrhages of all 4 quadrants of the fundus. The number of hemorrhages is higher in the superior hemisphere than the inferior hemisphere. On the superior disc margin collateral vessels are present (the black arrow). The superior veins (the green arrow) are more dilated than the inferior veins (the blue arrow). B - Color fundus photograph of the fellow eye is notable only for the presence of macular drusen. C - Spectral domain-OCT (SD-OCT) image of the right macula. The scanning laser ophthalmoscopic fundus image on the left indicates the vertical orientation of the line scan at the right. The foveal depression is intact and there is no evidence of intraretinal edema. Simultaneous hemicentral retinal vein occlusions will appear clinically as a central retinal vein occlusion.