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Retinal vascular tortuosity: Mechanisms and measurements
Manuel Ap Vilela1, Carlos Ev Amaral1, Maria Angélica T Ferreira1
1Federal University of Health Sciences of Porto Alegre, Porto Alegre, Brazil.
European Journal of Ophthalmology
|December 14, 2020
Summary
Retinal vessel tortuosity is crucial for clinical diagnosis but lacks standardized measurement and data. This review explores its causes, assessment methods, and current limitations in clinical practice.
Area of Science:
- Ophthalmology
- Medical Imaging
- Biomedical Engineering
Background:
- Retinal vessel tortuosity is a significant clinical indicator in various ophthalmological conditions.
- Existing knowledge on retinal vessel tortuosity suffers from inconsistencies in basic concepts, measurement standards, and normative data.
- Clinical applications of retinal vessel tortuosity assessment are hindered by these data and methodological gaps.
Purpose of the Study:
- To review the etiological factors contributing to retinal vessel tortuosity.
- To explore the diverse resources and methodologies employed for assessing and quantifying retinal vessel tortuosity.
- To identify and discuss the current limitations and areas needing further research in the field.
Main Methods:
- Literature review of studies on retinal vessel tortuosity.
- Analysis of existing measurement tools and quantification techniques.
- Synthesis of data on clinical applications and limitations.
Main Results:
- Identified various triggering causes for retinal vessel tortuosity.
- Cataloged a range of assessment and quantification resources, highlighting technological advancements.
- Pinpointed significant gaps in standardization, normative data, and clinical validation.
Conclusions:
- Standardization of measurement techniques and development of robust normative datasets are essential for reliable clinical application.
- Further research is needed to bridge the gap between basic science understanding and clinical utility of retinal vessel tortuosity.
- Addressing current limitations will enhance the diagnostic and prognostic value of retinal vessel tortuosity in ophthalmology.

