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Evaluation of pulsatile choroidal blood flow in branch retinal vein occlusion

Alexandra Luksch1, Noémi Maár, Michael Tittl

  • 1Department of Ophthalmology and Optometry, University of Vienna, Austria.

Insights

Patients with branch retinal vein occlusion (BRVO) show higher pulsatile choroidal blood flow. This increased blood flow in the choroid may compensate for reduced retinal blood flow in BRVO patients.

Area of Science:

  • Ophthalmology
  • Vascular Biology
  • Retinal Diseases

Background:

  • Branch retinal vein occlusion (BRVO) is a common vascular disorder affecting the retina.
  • Understanding the hemodynamic changes in BRVO is crucial for managing the condition.

Purpose of the Study:

  • To compare pulsatile choroidal blood flow in BRVO patients with healthy controls.
  • To investigate potential compensatory mechanisms in the choroid.

Main Methods:

  • Utilized laser interferometry to measure fundus pulsation amplitude (FPA) in the fovea.
  • Included 16 patients with manifest BRVO and 36 healthy, age- and sex-matched controls.

Main Results:

  • Significantly higher FPA in BRVO-affected eyes (4.4 microm) compared to fellow eyes (3.8 microm).
  • Elevated FPA in BRVO eyes also significantly differed from healthy controls (3.3 microm).

Conclusions:

  • Increased FPA suggests augmented pulsatile choroidal blood flow in BRVO.
  • This compensatory increase in choroidal blood flow may mitigate reduced retinal blood flow due to BRVO.
Abstract

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