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Ischaemic central retinal vein occlusion in the young
A Gupta1, A Agarwal, R K Bansal
1Department of Ophthalmology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Eye (London, England)
|January 1, 1993
Summary
Central retinal vein occlusion (CRVO) in young adults is often linked to severe systemic disorders, leading to poor visual outcomes. Early detection and management of underlying conditions are crucial for patients with CRVO.
Area of Science:
- Ophthalmology
- Vascular Medicine
- Internal Medicine
Background:
- Central retinal vein occlusion (CRVO) is rare in individuals under 40.
- Understanding the behavior and visual prognosis of CRVO in the young is limited.
- This study investigates CRVO in young patients, focusing on systemic associations.
Observation:
- A cohort of 25 patients under 40 with CRVO was analyzed.
- Eight patients presented with ischemic CRVO, while 17 had non-ischemic CRVO.
- Ischemic CRVO was associated with end-stage renal disease, hypercholesterolemia, beta-thalassemia, and hypertension.
Findings:
- Ischemic CRVO in young patients exhibited severe disease progression and rapid decline.
- Visual acuity outcomes ranged from no light perception to 6/60.
- Three patients with end-stage renal disease died within 15 months of CRVO diagnosis.
Implications:
- CRVO in the young necessitates thorough investigation for underlying systemic disorders.
- Aggressive management strategies may be required for severe ischemic cases.
- Systemic health significantly impacts the prognosis of CRVO in younger populations.