Central Retinal Vein Occlusion Flashcards

1
Q

What is central retinal vein occlusion?

A

A blockage of blood flow in the central retinal vein causing pooling of blood in the retina

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2
Q

What are risk factors for CRVO?

A
  • Increasing age
  • HTN
  • CV disease
  • Glaucoma
  • Polycythaemia
  • Diabetes
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3
Q

How does CRVO present?

A
  • Sudden, painless reduction or loss of visual acuity
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4
Q

How is CRVO investigated?

A

Fundoscopy which shows widespread hyperaemia (lots of blood in the vessls) and ‘stormy sunset’ retinal haemorrhages
Macular oedema and neovascularisation may also be present

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5
Q

How is CRVO managed?

A
  • Conservatively with management of risk factors
  • If macular oedema present alongside, intravitreal injections can be used
  • If neovascularisation taken place, laser photocoagulation can be used
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6
Q

What is the key differential for CRVO?

A

Branch Retinal Vein Occlusion - where one of the vein in the distal retinal system is occlused

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7
Q

How to differentiate between CRVO and BRVO?

A

BRVO will have less vision being affected

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