What is Treatment for Branch Retinal Vein Occlusion (BRVO)?

May 8, 2009

I was diagnosed with BRVO 2 years ago, I have had 4 injections of Avastin and 3 laser procedures.  My vision improves for a a while but then headaches begin and vision becomes blurry.  Do we know how many injections and laser treatments are safe before further damage can be done to the eye?




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10 Responses to “What is Treatment for Branch Retinal Vein Occlusion (BRVO)?”

  • kulwindermankoo

    I have had 5 shots of avastin. My vision getting better but in the last injection my pressure roses to 54 immediately my dr. Gave 2 stats diamox tab then my blood pressure did unstable. After ward sewere pain in my head and left cheek. But after few days pressure start normalized vision also. But still i m in dilemma what will my future is. Very woried because of mechanical workshop owner have to taken precise measurements. My crp is also at higher side crp 42. Please advise me what to do yesterday my oct is resolved and fundus photo also become better then before. But my joints pain is also happening due to high oral steroids intake. Is there any naturall vitamins which help. Please advice me.

  • ari

    the chemo is not the chemo for cancer. there is no risk of losing your hair. the other eye does not “work” harder- it doesnt work that way, just like your ear does not work harder if the other ear is deaf.

  • Connie

    I am 46 years old and have been diagnosed with BRVO. The specialist I saw said that I needed injections of a low dose of chemo. I was wondering is this low dose of chemo going to make me loose my hair. And also, is there going to be anything I can do to improve the blurriness in my right eye so that the left eye does not have to do all of the work.

  • Janet

    I was diagnosed with BRVO in the left eye in April 2011. I have been treated since April 2011 with Avastin (x7), Ozurdex (x1 in October), 2 laser treatments, May 2011 and April 2012, and 2 Lucentis injections (Feb. & March 2012). My vision improved after the Ozurdex injection but only lasted 3 months. I have lost 50% vision in the eye and I wonder if this is permanent and if any further treatment is necessary. I have not ever seen any improvement in my vision from either Avastin or Lucentis. After the Ozurdex injection, my optic nerve pressure rose to 24 but subsequently has dropped to 14. I question the need for further injections of Avastin or Lucentis as I don’t see any improvement..
    Thank you for your advice.

    dropped to 14.

  • fran kaye

    I have had BRVO `12 years ago and haven’t had any problems. However, I am doing in for cataract surgery and am concerned what kind of outcome it will be with this BRVO. I am afraid I am going to have complications. My doctor said it will cause edema. The doctor doesn’t like to discuss this kind of information with the patient. It really scares me.

  • Dr. Ari Weitzner

    when i am asked to make a determination re disability in a patient with poor vision, i state that the patient may return to work that does not have high visual demands. if you are looking at a computer all day and do a lot of reading, then i consider you disabled, whereas if you are answering a phone or work as a salesman in a dept store, you are not disabled.
    you simply have to make a claim and go through the paperwork and disability consultations. it wont be easy- insurance companies and the govt certainly dont want to make payments, and they will ask you to work in less visually demanding jobs.
    if part of your disability is the depression, i cant comment on that- i have no expertise there.
    good luck

  • Bettha

    OOpps…I made an error ont he date in the first email…I try this again.

    I have had three BRVO’s since September 2007. Consequently, I had one Avastin injection and four laser treatments. I am 45 years old and I have been out of work since the first incident in September 2007. I was also diagnosed with Major Depression. It has taken all of this time to deal with the Depression. I am suppose to return to a stressful workplace in the next few months. I am required to do a lot of computer work/reading. My GP has recommended that I not return to work and I will be discussing this with my Opthamologist soon. What would typically be recommended in a situation of this nature. I could be eligible for LTD if my Opthamologist supports it but I do not know how serious this problem is. I know that three serious bleeds has left me scared and scarred. I can see quite well but my eye is filled with “snowflakes” . What is typically recommended for a situation like I described?

  • Barbara Cooney

    I have BRVO, and have had 1 laser treatment and 1 shot of avastin. So far, I have not lost any of my vision. I have not had any problems with either treatment.

  • I am not so sure that your symptoms are related to the BRVO, laser or Avastin. It is common to need repeated Avastin and occasionally more than one laser treatment. The frank answer to your question; probably infinite lasers (although 2-3 is more likely) and I don’t think we really know the maximum number of Avastin injections. Patients receiving Avastin and related medicines commonly receive monthly injections for over a year.

    Hope this was helpful,

    Randall V. Wong, M.D.
    Retina Specialist

  • Dr Weitzner

    brvo has nothing to do with headache, except that you are probably relying on one eye more than the other, and that imbalance may give you headache.
    macular degeneration patients can get a dozen injections. there does not seem to be any special risk the more we inject (although, there is a miniscule risk of infection each time).

    3 laser treatments is quite a bit for macular edema due to brvo- more laser is of doubtful efficacy and may very well make the vision worse (important to understand that if the doctor is treating neovascularization due to brvo, then you need a lot of laser).

    after all the treatment you got already, i doubt very much any more would be of any benefit. if the doctor wants to inject yet again, i would get a second opinion- but make sure to tell the doctor that you want an opinion and that he will not be doing any procedure on you- that way, you can be confident you are getting unbiased advice.

    i think you have to accept that your vision will probably never be normal- that is common in brvo, i’m afaraid. but chances are it will remain stable.