Retinal Vein Occlusion Clinical Trial
Official title:
Correlation Between the Visual Acuity and the OCT Pattern of Macular Edema Secondary to Retinal Vein Occlusion
Correlation between changes observed in OCT and VA in patients with retinal vein occlusion whether the patient's VA improves when macular edema improves in OCT or not ??
Central retinal vein occlusion (CRVO) is a common retinal vascular disorder. Clinically, CRVO
presents with variable visual loss; fundus may show retinal hemorrhages, dilated tortuous
retinal veins, cotton-wool spots, macular edIn view of the devastating complications
associated with the severe form of CRVO, number of classifications were described. All of
classifications take into account the area of retinal capillary nonperfusion and development
of neovascular complications.
CRVO can be divided into 2 clinical types, ischemic and nonischemic. In addition, a number of
patients may have an intermediate presentation with variable clinical course. On initial
presentation, it may be difficult to classify a given patient, since CRVO may change with
time.
A number of clinical and ancillary investigative factors are taken into account for
classifying CRVO:
Nonischemic CRVO is milder form of disease. It may present with good vision, few retinal
hemorrhages and cotton-wool spots, no relative afferent pupillary defect, and good perfusion
to the retina. Nonischemic CRVO may resolve fully with good visual outcome or may progress to
the ischemic type.
Ischemic CRVO is the severe form of the disease. CRVO may present initially as the ischemic
type, or it may progress from nonischemic. Usually, ischemic CRVO presents with severe visual
loss, extensive retinal hemorrhages and cotton-wool spots, presence of relative afferent
pupillary defect, poor perfusion to retina, and presence of severe electroretinographic
changes. In addition, patients may end up with neovascular glaucoma and a painful blind eye.
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