Optical coherence tomography of branch retinal vein occlusion

Richard F. Spaide, Jimmy K. Lee, James M. Klancnik, Nicole E. Gross

Research output: Contribution to journalArticle

104 Citations (Scopus)

Abstract

Purpose: To evaluate the incidence of serous retinal detachment (SRD) secondary to a branch retinal vein occlusion (BRVO) by using optical coherence tomography (OCT). Methods: Fourteen eyes of 14 patients with a BRVO underwent a detailed history, ophthalmoscopic examination, and fluorescein angiographic evaluation. They were also studied with OCT. Results: The 14 patients included eight women and six men with a mean age of 73.6 ± 10.5 years (range, 55-90 years). Four eyes were found to have cystoid macular edema by fluorescein angiography, whereas 10 cases were detected by OCT. SRD involving any portion of the macula was found in 10 (71.4%) of the 14 eyes, and SRD extending into the fovea was found in six (42.9%) eyes. Two (14.3%) of the 14 patients also showed a subfoveal hemorrhage that appeared to have gravitated inferiorly through the SRD to the dependent portion of the detachment. Conclusions: That few patients with SRD secondary to a BRVO discovered by ophthalmoscopy have been reported in the literature would suggest that this is an uncommon complication. The authors found with OCT that SRD commonly occurs in BRVO. In addition, subretinal hemorrhage may occur in the context of BRVO, and the authors propose that blood gravitates through the subretinal fluid to settle behind the retina.

Original languageEnglish (US)
Pages (from-to)343-347
Number of pages5
JournalRetina
Volume23
Issue number3
StatePublished - Jun 2003
Externally publishedYes

Fingerprint

Retinal Vein Occlusion
Optical Coherence Tomography
Retinal Detachment
Hemorrhage
Subretinal Fluid
Ophthalmoscopy
Macular Edema
Fluorescein Angiography
Fluorescein
Retina
History
Incidence

Keywords

  • Branch retinal vein occlusion
  • Cystoid macular edema
  • Macular edema
  • Optical coherence tomography
  • Serous retinal detachment

ASJC Scopus subject areas

  • Ophthalmology
  • Sensory Systems

Cite this

Spaide, R. F., Lee, J. K., Klancnik, J. M., & Gross, N. E. (2003). Optical coherence tomography of branch retinal vein occlusion. Retina, 23(3), 343-347.

Optical coherence tomography of branch retinal vein occlusion. / Spaide, Richard F.; Lee, Jimmy K.; Klancnik, James M.; Gross, Nicole E.

In: Retina, Vol. 23, No. 3, 06.2003, p. 343-347.

Research output: Contribution to journalArticle

Spaide, RF, Lee, JK, Klancnik, JM & Gross, NE 2003, 'Optical coherence tomography of branch retinal vein occlusion', Retina, vol. 23, no. 3, pp. 343-347.
Spaide RF, Lee JK, Klancnik JM, Gross NE. Optical coherence tomography of branch retinal vein occlusion. Retina. 2003 Jun;23(3):343-347.
Spaide, Richard F. ; Lee, Jimmy K. ; Klancnik, James M. ; Gross, Nicole E. / Optical coherence tomography of branch retinal vein occlusion. In: Retina. 2003 ; Vol. 23, No. 3. pp. 343-347.
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AB - Purpose: To evaluate the incidence of serous retinal detachment (SRD) secondary to a branch retinal vein occlusion (BRVO) by using optical coherence tomography (OCT). Methods: Fourteen eyes of 14 patients with a BRVO underwent a detailed history, ophthalmoscopic examination, and fluorescein angiographic evaluation. They were also studied with OCT. Results: The 14 patients included eight women and six men with a mean age of 73.6 ± 10.5 years (range, 55-90 years). Four eyes were found to have cystoid macular edema by fluorescein angiography, whereas 10 cases were detected by OCT. SRD involving any portion of the macula was found in 10 (71.4%) of the 14 eyes, and SRD extending into the fovea was found in six (42.9%) eyes. Two (14.3%) of the 14 patients also showed a subfoveal hemorrhage that appeared to have gravitated inferiorly through the SRD to the dependent portion of the detachment. Conclusions: That few patients with SRD secondary to a BRVO discovered by ophthalmoscopy have been reported in the literature would suggest that this is an uncommon complication. The authors found with OCT that SRD commonly occurs in BRVO. In addition, subretinal hemorrhage may occur in the context of BRVO, and the authors propose that blood gravitates through the subretinal fluid to settle behind the retina.

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