Systemic diseases in non-inflammatory branch and central retinal artery occlusion--an overview of 416 patients

Dieter Schmidt1, A Hetzel, A Geibel-Zehender

  • 1University Eye Hospital, Killianstr. 5, 79106 Freiburg, Germany. Dieter.Schmidt@uniklinik-freiburg.de

Insights

Cardiovascular risk factors are common in patients with retinal arterial occlusions like BRAO and CRAO. No significant differences were found in risk factors among these conditions, suggesting comprehensive screening for all patients.

Area of Science:

  • Ophthalmology
  • Cardiology
  • Vascular Medicine

Background:

  • Cardiovascular risk factors are frequently observed in patients with vascular ocular diseases.
  • Understanding the prevalence of these factors is crucial for managing conditions such as Branch Retinal Artery Occlusion (BRAO) and Central Retinal Artery Occlusion (CRAO).

Purpose of the Study:

  • To determine the frequency of essential cardiovascular risk factors in patients diagnosed with different types of vascular ocular diseases.
  • To compare the prevalence of these risk factors across specific conditions including BRAO, CRAO, and hemi-CRAO.

Main Methods:

  • A retrospective study analyzed cardiovascular risk factor findings in 416 patients with non-inflammatory ocular vascular occlusions.
  • Patient data included diagnoses of BRAO (134), CRAO (253), and hemi-CRAO (29).
  • Demographic information and the presence of risk factors like hypertension, diabetes, and smoking were compiled.

Main Results:

  • Cardiovascular risk factors were identified in 243 out of 416 patients (58.4%).
  • Arterial hypertension was the most prevalent risk factor, present in 75.9% of patients.
  • No statistically significant differences in major cardiovascular risk factors (hypertension, carotid artery disease, diabetes, hyperlipidemia, hyperuricemia, smoking) were observed between patients with BRAO, CRAO, or hemi-CRAO.

Conclusions:

  • There are no significant statistical differences in cardiovascular risk factors among patients with BRAO, CRAO, or hemi-CRAO.
  • The study emphasizes the necessity of a comprehensive cardiovascular risk factor examination for all patients presenting with retinal arterial obstruction.
Abstract

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