Related Experiment Video
Updated: Aug 4, 2026

Assessing Early Stage Open-Angle Glaucoma in Patients by Isolated-Check Visual Evoked Potential
Published on: May 25, 2020
Risk factors for hemiretinal vein occlusion: comparison with risk factors for central and branch retinal vein
R D Sperduto1, R Hiller, E Chew
1National Eye Institute, Bethesda, Maryland 20892-2510, USA.
Insights
Systemic hypertension, diabetes, and glaucoma are key risk factors for various retinal vein occlusions. Lifestyle factors like physical activity and alcohol consumption may reduce central retinal vein occlusion risk.
Area of Science:
- Ophthalmology
- Vascular Medicine
- Epidemiology
Background:
- Retinal vein occlusions (RVOs) are a significant cause of vision loss.
- Understanding distinct risk factor profiles for hemiretinal (HRVO), central (CRVO), and branch (BRVO) retinal vein occlusions is crucial for targeted prevention and management.
Purpose of the Study:
- To identify and compare potential risk factors for hemiretinal vein occlusion (HRVO) with those of central retinal vein occlusion (CRVO) and branch retinal vein occlusion (BRVO).
Main Methods:
- A multicenter case-control study involving 79 HRVO, 258 CRVO, 270 BRVO patients, and 1142 controls.
- Risk factor data collected via interviews, clinical exams, and laboratory blood analyses.
Main Results:
- Systemic hypertension and diabetes mellitus increased HRVO risk.
- CRVO risk was linked to diabetes, hypertension, and erythrocyte sedimentation rate (females), while reduced by physical activity and alcohol.
- BRVO risk correlated with hypertension, BMI, and alpha2-globulin, but decreased with HDL and alcohol.
- Glaucoma history was a risk factor for all three RVO types.
Conclusions:
- Patients with retinal vein occlusions require evaluation for cardiovascular disease, diabetes, and glaucoma.
- These findings aid in stratifying risk and developing preventative strategies for different RVO subtypes.
Objective:
Possible risk factors for hemiretinal vein occlusion were identified and compared with risk factor profiles for central and branch retinal vein occlusion.
Design:
The design was a multicenter case-control study.
Methods:
The authors identified 79 patients with hemiretinal vein occlusion (HRVO), 258 patients with central retinal vein occlusion (CRVO), 270 patients with branch retinal vein occlusion (BRVO), and 1142 control subjects at 5 clinical centers. Risk factor data were obtained through interviews, clinical examinations, and laboratory analyses of blood specimens.
Results:
Systemic hypertension and history of diabetes mellitus were associated with increased risk of HRVO. Risk of CRVO increased with history of diabetes, systemic hypertension, and higher erythrocyte sedimentation rate (females only); risk of CRVO decreased with increasing amounts of physical activity and increasing amounts of alcohol consumption. Systemic hypertension, higher body mass index, and higher alpha2-globulin levels were associated with increased risk of BRVO, whereas higher high-density lipoprotein levels and increasing levels of alcohol consumption were associated with decreased risk of BRVO. Glaucoma history was associated with all three types of retinal vein occlusion.
Conclusion:
Patients presenting with retinal vein occlusion should be evaluated for cardiovascular disease, diabetes, and glaucoma.
Related Concept Videos
Glaucoma: Overview
Open Angle Glaucoma: Treatment
Drugs such as carbonic anhydrase inhibitors, α2- and...
Relative Risk
Venous Thrombosis I: Introduction
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
Diabetic Retinopathy

