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Published on: August 6, 2021
Effects of Common Thrombophilia Factor Mutations in Central Retinal Vein Occlusion
Muhammer Ozgur Cevik1, Sadik Gorkem Cevik2
1Department of Medical Genetics, Adiyaman University Faculty of Medicine, Adiyaman, Turkey.
Insights
The MTHFR C677T gene mutation is a potential risk factor for central retinal vein occlusion (CRVO). Other common thrombophilic polymorphisms were not found to be specifically related to CRVO in this study.
Area of Science:
- Ophthalmology
- Genetics
- Thrombosis
Background:
- Central retinal vein occlusion (CRVO) is a serious condition causing vision impairment.
- The exact pathophysiology of CRVO remains unclear, despite links to various systemic conditions.
- Investigating thrombophilic polymorphisms may elucidate CRVO's underlying mechanisms.
Purpose of the Study:
- To investigate the association between common thrombophilic polymorphisms and CRVO.
- To identify potential genetic risk factors contributing to CRVO development.
Main Methods:
- Genotyping for Factor V Leiden (G1691A), prothrombin (Factor II G20210A), MTHFR (C677T and A1298C), and PAI-1 5G/4G polymorphisms in 33 CRVO patients and 30 controls.
- Assessment of systemic conditions including hypertension, diabetes mellitus, glaucoma, smoking, and history of thrombosis.
Main Results:
- MTHFR C677T polymorphism (heterozygous or homozygous) was identified as a potential risk factor for CRVO and systemic thrombosis.
- No significant differences were observed in the prevalence of diabetes mellitus, hypertension, smoking, or glaucoma between CRVO patients and controls.
- A history of thrombosis was significantly more common in CRVO patients compared to controls (p=0.001).
- Ischemic CRVO cases showed a higher incidence of diabetes mellitus (p=0.002) and hypertension (p=0.031) compared to non-ischemic cases.
Conclusions:
- The MTHFR C677T mutation is a potential risk factor for CRVO.
- Factor V Leiden, prothrombin, MTHFR A1298C, and PAI-1 5G/4G mutations were not specifically linked to CRVO in this cohort.
- Diabetes mellitus and hypertension are significant factors in ischemic CRVO.
- Further research with larger sample sizes is recommended to validate these findings.
Objectives:
Central retinal vein occlusion (CRVO) is a severe eye disease that impairs vision. Although numerous systemic conditions have been reported to be a contributor, its exact pathophysiology has not yet been resolved. The purpose of this study was to study the role of some common thrombophilic polymorphisms in CRVO patients.
Methods:
A total of 33 CRVO patients (25 non-ischemic CRVO and 8 ischemic CRVO) and 30 controls were recruited. Factor V Leiden (G1691A), prothrombin (Factor II G20210A), MTHFR (C677T), MTHFR (A1298C), and PAI-1 5G/4G polymorphisms in venous blood DNA samples were examined, as well as the presence of hypertension, diabetes mellitus, glaucoma, smoking, and history of thrombosis.
Results:
It was determined that MTHFR C677T polymorphisms, either in heterozygous or homozygous form, might be a risk factor for CRVO and systemic thrombosis. No differences were detected between the CRVO and control groups in terms of diabetes mellitus (p=0.058>0.05), hypertension (p=0.3>0.05), smoking (p=0.923>0.05), glaucoma (p=0.06>0.05) or use of anticoagulant drugs (p=0.4>0.05). Analysis of patient history revealed a statistically significant difference regarding a thrombotic event in the medical history of the CRVO group (p=0.001<0.05; n=4) versus the control group. The ischemic CRVO group had a significantly higher incidence of diabetes mellitus (p=0.002<0.05) and hypertension (p=0.031<0.05) than the non-ischemic CRVO group.
Conclusion:
The MTHFR C677T mutation appears to be a risk factor for CRVO but factor V Leiden (G1691A), prothrombin (Factor II G20210A), MTHFR (A1298C), and PAI-1 5G/4G mutations were not determined to be specifically related to CRVO in this study. The presence of diabetes mellitus and hypertension was significant in the ischemic CRVO group. Further studies with larger sample sizes should be conducted.
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