central retinal vein occlusion Flashcards
risk factors if central retinal vein occlusion
increasing age
hypertension
high cholesterol
diabetes, smoking, glaucoma, and polycythaemia
features of central vein occlusion
sudden, painless reduction or loss of visual acuity, usually unilaterally
risk factors of retinal detachment
increasing age, eye injury, or extreme myopia.
central retinal vein occlusion fundoscopy
severe retinal haemorrhages, cotton wool spots are usually seen on fundoscopy
features of central retinal artery occlusion
sudden, painless vision loss, described as a descending curtain
fundoscopy finding of central artery occlusion
cherry-red spot at the fovea centralis as well as atheromatous plaques
features of retinal detachment
sudden, painless vision loss similar to CRAO (‘descending curtain’) but patients often report floaters and flashes of light preceding this
fundoscopy findings of retinal detachment
retinal tears are also often visible on fundoscopy without haemorrhages or cotton wool spots.
DD for sudden painless loss of vision
central retinal vein occlusion
central artery occlusion
amaurosis fugax
retinal detachment
types of retinal vein occlusion
central
branch
ischaemic
non ischaemic
Ix for CRVO
BP Glucose FBC ESR history of previous thromboses/miscarriages
Tx for central retinal vein occlusion
reduce IOP
macular oedema - dexamethasone intravitreal implant/ anti-VEGF therapies/ intravitreal triamcinolone acetonide