Evaluation of a patient with central retinal vein occlusion.

Abstract:

:Patients suffering a central retinal vein occlusion should be evaluated for conditions that promote and/or contribute to the formation of a thrombosis in the central retinal vein. These conditions include alterations of blood flow, altered viscosity of the blood, abnormalities of coagulation, and abnormalities of vessel walls. Patients with either a partial or complete central retinal vein occlusion have similarities in the age of onset, associated systemic findings, and laboratory data. At the time of onset, 90% of patients are older than 50 years. Seventy-four percent of patients will have symptoms or signs of associated systemic vascular disease (ie, hypertension, arteriosclerotic heart disease, and diabetes mellitus.) The most common laboratory findings include elevated blood lipids, abnormalities of glucose tolerance testing, and abnormalities of protein chemistries. Evaluation should include both a complete ocular and medical examination with appropriate laboratory tests and special studies. Assessment of central retinal venous pressure may be helpful in identifying those patients who have a severe, complete thrombosis and are at significant risk to develop anterior segment neovascularization.

journal_name

Ophthalmology

journal_title

Ophthalmology

authors

Gutman FA

doi

10.1016/s0161-6420(83)34528-0

subject

Has Abstract

pub_date

1983-05-01 00:00:00

pages

481-3

issue

5

eissn

0161-6420

issn

1549-4713

pii

S0161-6420(83)34528-0

journal_volume

90

pub_type

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