» Articles » PMID: 33820544

Microvascular Comparison in Younger and Older Patients with Retinal Vein Occlusion Analyzed by OCT Angiography

Overview
Journal BMC Ophthalmol
Publisher Biomed Central
Specialty Ophthalmology
Date 2021 Apr 6
PMID 33820544
Citations 5
Authors
Affiliations
Soon will be listed here.
Abstract

Background: To compare changes in retinal microvasculature of young and elderly patients with retinal vein occlusion (RVO) after anti-VEGF treatment.

Methods: RVO patients who underwent anti-VEGF treatment were retrospectively reviewed and categorized into two groups based on age. The OCT angiography images were obtained during each visit. Best corrected visual acuity (BCVA), vessel density (VD) and foveal avascular zone (FAZ) were measured and compared between the two groups. Vision improvements and retinal microvasculature changes were also correlated.

Results: Twenty patients with 20 eyes were enrolled in the younger group and 46 patients with 46 eyes were enrolled in the older group. Younger patients demonstrated better BCVA, higher VD and smaller FAZ than older patients at 12 months after the first anti-VEGF treatment. The improvement of VD was observed only in the younger group. A positive correlation between vision improvement and VD increase was noted.

Conclusions: Young patients with RVO can achieve rapid rehabilitation of deep retinal vasculature which lead to a better visual outcome.

Citing Articles

Cumulative effect of metabolic syndrome on the risk of retinal vein occlusion in young patients: A nationwide population-based study.

Kim Y, Kim C, Kim J, Han K, Kim J PLoS One. 2024; 19(5):e0303871.

PMID: 38768233 PMC: 11104591. DOI: 10.1371/journal.pone.0303871.


Acute, Treatment-Naïve Branch Retinal Vein Occlusion in Younger Individuals: Risk Factors and Clinical Outcomes.

Kundu A, Thomas A, Mirzania D, Kim J, Stinnett S, Fekrat S J Vitreoretin Dis. 2024; 8(1):51-57.

PMID: 38223779 PMC: 10786076. DOI: 10.1177/24741264231205378.


An Analysis of Optical Coherence Tomography Angiography (OCT-A) Perfusion Density Maps in Patients Treated for Retinal Vein Occlusion with Intravitreal Aflibercept.

Spiewak D, Witek K, Drzyzga L, Mrukwa-Kominek E Diagnostics (Basel). 2023; 13(19).

PMID: 37835843 PMC: 10572925. DOI: 10.3390/diagnostics13193100.


Outcomes in patients with retinal vein occlusion with good baseline visual acuity.

Liu J, Vatti T, Seth K, Valentim C, Rachitskaya A, Singh R Eye (Lond). 2023; 37(15):3203-3208.

PMID: 36949245 PMC: 10564869. DOI: 10.1038/s41433-023-02488-x.


Clinical Features of Central Retinal Vein Occlusion in Young Patients.

Zhang X, Zhong Y, Xue Y, Li S, Wang B, Zhang G Ophthalmol Ther. 2022; 11(4):1409-1422.

PMID: 35697973 PMC: 9191544. DOI: 10.1007/s40123-022-00534-7.

References
1.
Casselholmde Salles M, Kvanta A, Amren U, Epstein D . Optical Coherence Tomography Angiography in Central Retinal Vein Occlusion: Correlation Between the Foveal Avascular Zone and Visual Acuity. Invest Ophthalmol Vis Sci. 2016; 57(9):OCT242-6. DOI: 10.1167/iovs.15-18819. View

2.
Sellam A, Glacet-Bernard A, Coscas F, Miere A, Coscas G, Souied E . QUALITATIVE AND QUANTITATIVE FOLLOW-UP USING OPTICAL COHERENCE TOMOGRAPHY ANGIOGRAPHY OF RETINAL VEIN OCCLUSION TREATED WITH ANTI-VEGF: Optical Coherence Tomography Angiography Follow-up of Retinal Vein Occlusion. Retina. 2016; 37(6):1176-1184. DOI: 10.1097/IAE.0000000000001334. View

3.
Zhu T, Ma J, Li J, Dai X, Ye P, Su Z . Multifractal and lacunarity analyses of microvascular morphology in eyes with diabetic retinopathy: A projection artifact resolved optical coherence tomography angiography study. Microcirculation. 2018; 26(3):e12519. DOI: 10.1111/micc.12519. View

4.
Hayreh S, Podhajsky P, Zimmerman M . Natural history of visual outcome in central retinal vein occlusion. Ophthalmology. 2010; 118(1):119-133.e1-2. PMC: 2989417. DOI: 10.1016/j.ophtha.2010.04.019. View

5.
Rothman A, Thomas A, Khan K, Fekrat S . CENTRAL RETINAL VEIN OCCLUSION IN YOUNG INDIVIDUALS: A Comparison of Risk Factors and Clinical Outcomes. Retina. 2018; 39(10):1917-1924. DOI: 10.1097/IAE.0000000000002278. View