An 83-year-old woman affected by nasal branch retinal vein occlusion with macular star underwent treatment with intravitreal triamcinolone acetonide injection followed by laser treatment addressed to the leaking vascular lesions. Visual acuity improved from 20/200 to 20/40 with a remarkable reduction of the macular exudates and resolution of dye leakage on fluorescein angiography over a 2-year follow-up. Nasal branch retinal vein occlusion may rarely occur with macular edema and macular star. Intravitreal triamcinolone acetonide injection and laser treatment of the leaking vascular lesions can result in visual function improvement over a 2-year follow-up.
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