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OPHTHALMIC IMAGE
Year : 2019  |  Volume : 67  |  Issue : 2  |  Page : 276

A complication of ischemic branch retinal vein occlusion


Vitreo-Retinal Services, Giridhar Eye Institute, Ponneth Temple Road, Kadavanthra, Kochi, Kerala, India

Date of Web Publication23-Jan-2019

Correspondence Address:
P C Ranjith
Vitreo-Retinal Services, Girdhar Eye Institute, Ponneth Temple Road, Kadavanthra, Kochi - 682 020, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_882_18

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How to cite this article:
Ranjith P C, Giridhar A. A complication of ischemic branch retinal vein occlusion. Indian J Ophthalmol 2019;67:276

How to cite this URL:
Ranjith P C, Giridhar A. A complication of ischemic branch retinal vein occlusion. Indian J Ophthalmol [serial online] 2019 [cited 2019 Jun 17];67:276. Available from: http://www.ijo.in/text.asp?2019/67/2/276/250687



A 48-year-old male with ischemic superotemporal branch retinal vein occlusion (BRVO) in the right eye with no known systemic disease had been managed with sectoral laser photocoagulation. His 55 degree multicolor fundus image on follow-up shows a large neovascularization of the disc exerting traction over the macula. Laser marks are seen superiorly. Optical coherence tomography angiography (OCTA) shows the neovascular frond and nonperfusion area. Owing to traction, the vascular architecture is distorted [Figure 1].
Figure 1: (a) Multicolor fundus photograph, (b) enface scan, (c) OCT angiography showing neovascularization of the disc and macular ischemia

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Although retinal vein occlusion is common in the elderly, it is also seen in younger population.[1] Younger patients with BRVO need a careful clinical evaluation for associated systemic diseases. They may have associated atherosclerosis, diabetes, or hypertension. Reports of hyperhomocysteinemia,[2] hyperviscosity syndrome,[3] connective tissue diseases,[4] and thrombophilia [5] with retinal vein occlusion in young patients are well known. If screening for these associations is inconclusive, a complete thrombophilic workup can be considered.

OCTA in retinal vein occlusion can show nonperfusion areas, collaterals, and neovascular fronds.[6] During the follow-up of these patients, fundus photography and OCTA can help to individualize treatment and follow-up options. OCTA acts an no invasive method to predict the visual prognosis.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Fong AC, Schatz H. Central retinal vein occlusion in young adults. Surv Ophthalmol 1993;37:393-417  Back to cited text no. 1
    
2.
Marcucci R, Bertini L, Giusti B, Brunelli T, Fedi S, Cellai AP, et al. Thrombophilic risk factors in patients with central retinal vein occlusion. Thromb Haemost 2001;86:772-6.  Back to cited text no. 2
    
3.
Chiang CC, Begley S, Henderson SO. Central retinal vein occlusion due to hyperviscosity syndrome. J Emerg Med 2000;18:23-6.  Back to cited text no. 3
    
4.
Batioǧlu F, Atmaca LS, Karabulut HG, Beyza Sayin D. Factor V Leiden and prothrombin gene G20210A mutations in ocular Behcet disease. Acta Ophthalmol Scand 2003;81:283-5.  Back to cited text no. 4
    
5.
Rehak M, Krcova V, Slavik L, Fric E, Langova K, Ulehlova J, et al. The role of thrombophilia in patients with retinal vein occlusion and no systemic risk factors. Can J Ophthalmol 2010;45:171-5.  Back to cited text no. 5
    
6.
Tsai G, Banaee T, Conti FF, Singh RP. Optical coherence tomography angiography in eyes with retinal vein occlusion. J Ophthalmic Vis Res 2018;13:315-32.  Back to cited text no. 6
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