Clinical study of branch retinal vein occlusion

Authors

  • Sonali V. Kumar Classified Specialist (Ophthalmology), CHAF, Bangalore

DOI:

https://doi.org/10.18203/2349-3259.ijct20174866

Keywords:

BRVO, Diminution of vision, Ophthalmic evaluation

Abstract

Background: Many large case series about demographic characteristics and association of branch retinal vein occlusion (BRVO) with systemic diseases have been published in the western population. However this pattern of demographic characteristics in the developed countries may not be representative of epidemiology of disease in the developing countries because of the real paucity of reports from these areas. The study is therefore aimed at evaluating demographic characteristics, to identify the common systemic or ocular risk factors and common clinical presentation of BRVO patients.

Methods: Hundred consecutive newly diagnosed cases of BRVO were included in this study. A complete ophthalmic evaluation was done after obtaining informed consent. A complete history both ocular and medical with emphasis on hypertension, diabetes and symptoms concerning glaucoma were taken.

Results: Out of 100 patients 80 were males and 20 were females. Average age of total patients was 62. Commonest mode of presentation was diminution of vision in 80 patients followed by floaters in 10 patients. About 10 patients were asymptomatic at the time of presentation. Out of 100 patient 80 were hypertensives, 10 were diabetics and deranged lipid level was found in 38 patients. Raised imtraocular pressure (IOP) was found in 10 patients, shorter axial length in 40 and no other ocular association was found in 50 patients.  

Conclusions: From this study we conclude that it is a disease of elderly age group and hypertension, hyperlipidaemia, shorter axial length are associated risk factors in patients with BRVO and must be looked for in such cases.

Author Biography

Sonali V. Kumar, Classified Specialist (Ophthalmology), CHAF, Bangalore

Eye department

Assistant professor

References

Orth DH, Patz A. Retinal Branch Vein Occlusion. Surv Ophthalmol.1978;22:357.

Zhou JQ1, Xu L, Wang S, Wang YX, You QS, Tu Y, et al. The 10-year incidence and risk factors of retinal vein occlusion: the Beijing eye study. Ophthalmology. 2013;120(4):803-8.

Jonas JB, Nangia V, Khare A, Sinha A, Lambat S. Prevalence and associations of retinal vein occlusions: the Central India Eye and Medical Study. Retina. 2013;33(1):152-9.

Jaulim A, Ahmed B, Khanam T, Chatziralli IP. Branch retinal vein occlusion: epidemiology, pathogenesis, risk factors, clinical features, diagnosis, and complications. An update of the literature. Retina. 2013;33(5):901-10.

Mitchell P, Smith N, Chang A. Prevalence and association of BRVO in Australia. The Blue mountain Eye Study. Arch ophthalmol. 1996;114:1243-7.

Koyanagi Y. Association between branch retinal vein occlusion and arterio¬venous crossing. Am J Ophthalmol. 1928;81:219-31.

Kawasaki R, Nagano E, Uno M, Okada M, Kawasaki Y, Kitamura A. Retinal vascular features associated with risk of branch retinal vein occlusion. Curr Eye Res. 2013;38(9):989-93.

Ponto KA, Elbaz H, Peto T, Laubert-Reh D, Binder H, Wild PS, et al. Prevalence and risk factors of retinal vein occlusion: the Gutenberg Health Study. J Thromb Haemost. 2015;13(7):1254-63.

Kolar P. Risk factors for central and branch retinal vein occlusion: a meta-analysis of published clinical data. J Ophthalmol.2014;2014:7244780.

Yasuda M, Kiyohara Y, Arakawa S, Hata Y, Yonemoto K, Doi Y, et al. Prevalence and systemic risk factors for retinal vein occlusion in a general Japanese population: the Hisayama study. Invest Ophthalmol Vis Sci. 2010;51(6):3205-9.

Lim LL, Cheung N, Wang JJ, Islam FM, Mitchell P, Saw SM, et al. Prevalence and risk factors of retinal vein occlusion in an Asian population. Br J Ophthalmol. 2008;92(10):1316-9.

Fiebai B, Ejimadu CS, Komolafe RD. Incidence and risk factors for retinal vein occlusion at the University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria. Niger J Clin Pract. 2014;17(4):462-6.

Hayreh SS. Retinal Vein Occlusion. Indian J Ophthalmol 1994;42:109-32.

Mandel ER, Schwartz PL, Rosen DA. Bilateral retinal branch vein occlusion. Ann Ophthalmol. 1982;14:387, 390-1.

Klein R, Klein BE, Moss SE, Meuer SM. The epidemiology of retinal vein occlusion: the Beaver Dam Eye Studv. Trans Am Ophthalmol Soc. 2000;98:133-41,141-3.

David R, Zangwill L, Badarna M. Epidemiology of retinal vein occlusion. Ophthalmologica. 1988;197:69-74..

Hayreh SS, Zimmerman MB, Podhasky P. Incidence of various types of retinal vein occlusion and their recurrence and demographic characteristics. Am J Ophthalmol M. 1994;117:429-41.

Wang S, Xu L, Jonas JB, Wang YS, Wang Y, Yang H, Li J. Retinal vascular abnormalities in adult Chinese in rural and urban Beijing: the Beijing Eye Study. Ophthalmology. 2006 ;113:1752-7.

Yasuda M, Kiyhara Y. Prevalence and systemic risk factors for retinal vein occlusion. Invest Ophthalmol. 2010;51(6):3205-9.

Johnston RL, Brucker AJ, Steinmann W, Hoffman ME, Holmes JH. Risk factors of branch retinal vein occlusion. Arch Ophthalmol. 1985;103:1831-2.

Rath EZ, Frank RN, Shin DH, Kim C. Risk factors for retinal vein occlusions. A case-control study. Ophthalmology. 1992;99(4):509-14.

The Eye Disease Case-Control study group. Risk factors for branch retinal vein occlusion. Am J Ophthalmol. 1993;116:286-96.

Simsek S, Demirok A, Cinal A, Yasar T. Effect of sex in branch retinal vein occlusion. Eur J Ophthalmol. 1998;8:48-51.

Cugati S, Wang JJ, Rochtchina E, Mitchell P. Ten-year incidence of retinal vein occlusion in an older population: the Blue Mountain Eye Study. Arch Ophthalmol. 2006;124:726-32.

Kutty VR, Balakrishnan KG, Jayasree AK, Thomas J. Prevalence of coronary heart disease in the rural population of Thiruvananthapuram district, Kerala, India. Int J Cardiol. 1993;39(1):59-70.

Shrestha RK, Shrestha JK, Koirala S, Shah DN. Association of systemic diseases with retinal vein occlusive disease. J Nepal Med Assoc. 2006;45:244-8.

Zachariah MG, Thankappan KR, Alex SC, Sarma PS, Vasan RS. Prevalence, correlates, awareness, treatment, and control of hypertension in a middle-aged urban population in Kerala. Indian Heart J 2003;55(3):245-51.

Shih CH, Ou SY, Shih CJ, Chen YT, Ou SM, Lee YJ. Bidirectional association between the risk of comorbidities and the diagnosis of retinal vein occlusion in an elderly population: a nationwide population-based study. Int J Cardiol. 2015;178:256-61.

Talu S, Stefanut C. Axial length and branch retinal vein occlusion. Ophthalmologia. 2004;48:81-4.

Chan EW, Wong TY, Liao J, Cheung CY, Zheng YF, Wang JJ, et al. Branch retinal vein occlusion and optic nerve head topographic parameters: the Singapore Indian eye study. Br J Ophthalmol. 2013;97(5):611-6.

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Published

2017-10-26

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Original Research Articles