BRANCH RETINAL VEIN OCCLUSION: DO WE REALLY NEED TO TREAT IN HASTE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 57
Abstract
BACKGROUND It is important to know the natural history of branch retinal vein occlusion in order to understand that any benefit attributed to intervention of any kind is due to the effect of the treatment alone and not due to natural course of the disease. In view of so many treatment options available, it becomes important to understand the natural outcome in case of BRVO, so one can decide when to intervene. AIMS 1. To find out natural visual outcome in patients with recent onset BRVO. 2. To find out what percentage of patients develop complications in long term. METHODS AND MATERIALS 20 patients seen in retina clinic with branch retinal vein occlusion of recent onset were included in the study from 2012 to 2014. Their best corrected visual acuity (BCVA), fundus photograph, intraocular pressure, and anterior segment findings were recorded. They were followed at 3 monthly interval for a period of one year. RESULTS Out of 20 patients with BRVO, 16 had involvement of superotemporal arcade and 4 had inferotemporal. 13 (65%) patients had final visual acuity of more than 6/18 on Snellen chart and 7 (35%) had visual acuity of less than 6/18. Out of 13 patients, 5 (25%) patients had final visual acuity of 6/9-6/6. CONCLUSION It is advisable to follow up patients of BRVO with visual acuity of 6/18 or better for a period of 6 months before undertaking any intervention and to intervene only if they show any deterioration on follow up in visual acuity or develop any complication secondary to BRVO.
Authors and Affiliations
Devendra , Harsha Jani
Keywords
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- EP ID EP154429
- DOI 10.14260/jemds/2016/898
- Views 91
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