Assessment of risk factors, central foveal thickness, visual acuity outcome and therapeutic approach in retinal vein occlusion patients of different age groups: a retrospective record based study

Authors

  • Neepa R. Gohil SIR T HOSPITAL BHAVNAGAR,GUJARAT
  • Vijay Mahadeo Shinde SIR T HOSPITAL BHAVNAGAR,GUJARAT
  • Kaumudi K. Shinde SIR T HOSPITAL BHAVNAGAR,GUJARAT

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20201972

Keywords:

RVO, Central foveal thickness, Serum homocystein, ST-BRVO

Abstract

Background: This study was conducted to investigate associated systemic diseases, other risk factors, visual prognosis, treatment approach and central foveal thickness in retinal vein occlusion patients of different age groups.

Methods: This single centre, retrospective record based hospital study included patients with retinal vein occlusion presenting to ophthalmic department. All the records of 30 patients were reviewed and data was abstracted and analysed. Initial and final clinical parameters e.g. visual acuity, central foveal thickness, age-group distribution, risk factors, therapeutic approach were analysed.

Results: Out of 30 patients, 19 patients were of age-group >50 years and 11 were <50 years. In present study, most common type of retinal vein occlusion (RVO) was ST- BRVO in both the groups. Most common association of RVO in group >50 years was hypertension (84%), and <50 years was hypertension (27.3%), raised lipid level (TG, cholesterol) (27%) and raised serum homocysteine. Patients with uncontrolled DM and hypertension (in our study, 2 patients) required multiple injections even after 4 months of follow-up. Age-group <50 years had better visual acuity and central foveal thickness at initial and final presentation. Raised serum homocysteine level associated with RVO in age-group <50 years (27.3%) versus age-group >50 years (5%).

Conclusions: Patients with good control of systemic disorders with RVO shows significantly improved (p value<0.05) visual acuity and central foveal thickness, in both the age-groups. Patients of age group >50 years were more associated with systemic disorder e.g., hypertension and DM. Patients of age group <50 years were more associated with medical condition e.g. hyperlipidemia, raised serum homocysteine. In present study, single patient in age-group <50 years was associated only with sudden and severe dehydration.

 

Author Biographies

Neepa R. Gohil, SIR T HOSPITAL BHAVNAGAR,GUJARAT

DEPARTMENT OF OPHTHALMOLOGY SIR T HOSPITAL BHAVNAGAR

Vijay Mahadeo Shinde, SIR T HOSPITAL BHAVNAGAR,GUJARAT

DEPARTMENT OF OPHTHALMOLOGY SIR T HOSPITAL AND GOVERNMENT MEDICAL COLLEGE BHAVNAGAR ,GUJARAT

Kaumudi K. Shinde, SIR T HOSPITAL BHAVNAGAR,GUJARAT

DEPARTMENT OF OPHTHALMOLOGY SIR T HOSPITAL BHAVNAGAR,GUJARAT

References

Hayreh SS, Zimmerman MB, Podhajsky P. Incidence of various types of retinal vein occlusion and their recurrence and demographic characteristics. Am J Ophthalmol. 1994;117(4):429-41.

Hayreh SS, Zimmerman MB. Branch retinal vein occlusion: natural history of visual outcome. JAMA Ophthalmol. 2014;132(1):13-22.

Hayreh SS. Prevalent misconceptions about acute retinal vascular occlusive disorders. Progress Retinal Eye Res. 2005;24(4):493-519.

Rogers S, McIntosh RL, Cheung N, Lim L, Wang JJ, Mitchell P, et al. The prevalence of retinal vein occlusion: pooled data from population studies from the United States, Europe, Asia, and Australia. Ophthalmology. 2010;117(2):313-9.

Bhisitkul RB, Campochiaro PA, Shapiro H, Rubio RG. Predictive value in retinal vein occlusions of early versus late or incomplete ranibizumab response defined by optical coherence tomography. Ophthalmology. 2013;120(5):1057-63.

Varma R, Bressler NM, Suñer I, Lee P, Dolan CM, Ward J, et al. Improved vision-related function after ranibizumab for macular edema after retinal vein occlusion: results from the BRAVO and CRUISE trials. Ophthalmology. 2012;119(10):2108-18.

Hayreh SS, Klugman MR, Beri M, Kimura AE, Podhajsky P. Differentiation of ischemic from non-ischemic central retinal vein occlusion during the early acute phase. Graefe's Arch Clin Experimental Ophthalmol. 1990;228(3):201-17.

Hayreh SS. Management of central retinal vein occlusion. Ophthalmologica. 2003;217:167-88.

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Published

2020-04-24

How to Cite

Gohil, N. R., Shinde, V. M., & Shinde, K. K. (2020). Assessment of risk factors, central foveal thickness, visual acuity outcome and therapeutic approach in retinal vein occlusion patients of different age groups: a retrospective record based study. International Journal Of Community Medicine And Public Health, 7(5), 1732–1737. https://doi.org/10.18203/2394-6040.ijcmph20201972

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Original Research Articles