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Branch retinal vein occlusion. A clinicopathologic case report
D K Bowers1, D Finkelstein, S M Wolff
1Eye Pathology Laboratory, Wilmer Ophthalmological Institute, Baltimore, Maryland.
Retina (Philadelphia, Pa.)
|January 1, 1987
Summary
Histopathological study of a patient with branch retinal vein occlusion revealed neovascularization despite laser treatment. Recurrent vitreous hemorrhage likely stemmed from these new blood vessel growths.
Area of Science:
- Ophthalmology
- Retinal Vascular Diseases
- Histopathology
Background:
- A 72-year-old female patient with a history of branch retinal vein occlusions (BRVO) in the left eye was studied postmortem.
- She participated in a clinical trial for BRVO, receiving argon laser photocoagulation for disc neovascularization.
Observation:
- Histopathological examination identified venous occlusions at arteriovenous crossings, associated with sclerotic retinal arterioles.
- Retinal inner ischemic atrophy distal to occlusions and three areas of neovascularization (optic nerve head, peripapillary, fovea) were noted.
Findings:
- Despite laser photocoagulation, the patient experienced recurrent vitreous hemorrhages.
- Histology confirmed neovascularization as a probable cause of the vitreous hemorrhages.
Implications:
- This case highlights the potential for neovascularization and vitreous hemorrhage in branch retinal vein occlusion, even after treatment.
- Understanding the histopathological basis of complications is crucial for managing retinal vascular diseases.