Central retinal vein occlusion in an elderly male patient with arterial hypertension, presenting with a best corrected visual acuity of 20/200. Fluorescein angiography (repeated later on) revealed marked ischemia, and optical coherence tomography showed important macular edema. He underwent intra-vitreal anti-VEGF treatment for macular edema (we opted not to treat with concomitant corticosteroids due to concomitant ocular hypertension), but poor visual results developed. No neovascular complications were registered, but a monthly follow-up during the first 6 months and then every 2 months was ordered.