Abstract
• Purpose: The study was carried out to ascertain the role of blood viscosity in patients with branch retinal vein occlusion (BR-VO) with and without risk factors. • Methods: In 292 patients with acute BRVO (mean age 65 ± 10 years) and 292 controls matched for gender, age, and cardiovascular risk factors, haematocrit, plasma viscosity, erythrocyte aggregation and erythrocyte rigidity were measured. A subgroup analysis in patients with and without risk factors was performed. • Results: Haematocrit and plasma viscosity values were significantly higher in BRVO patients than in controls, but erythrocyte rigidity and erythrocyte aggregaton did not differ. Subgroup analysis revealed no differences in haematocrit and plasma viscosity values between patients with and those without cardioavascular risk factors. • Conclusions: This study shows increased plasma viscosity and haematocrit values in patients with BRVO which are not associated with the presence of other cardiovascular risk factors. Thus, changes in blood fluidity appear to be important factors in the pathogenesis of BRVO.
Similar content being viewed by others
References
Appiah AP, Trempe CL (1989) Risk factors associated with branch vs. central retinal vein occlusion. Ann Ophthalmol 21:153–157
Appiah AP, Trempé CL (1989) Differences in contributory factors among hemicentral, central, and branch retinal vein occlusions. Ophthalmology 96:364–366
Bertram B, Wolf S, Arend O, Schulte K, Pesch TW, Jung F, Kiesewetter H, Reim M (1992) Blood theology and retinopathy in adult type I diabetes mellitus. Clin Hemorheol 12:437–448
Chabanel A, Glacet-Bernard A, Lelong F, Taccoen A, Coscas G (1990) Increased red blood cell aggregation in retinal vein occlusion. Br J Haematol 75:127–131
Chien S (1975) Biophysical behavior of red cells in suspensions. In: Surgener DM (ed) The red blood cell. Academic Press, New York, pp 1031–1133
Duker JS, Brown GC (1989) Anterior location of the crossing artery in branch retinal vein occlusion. Arch Ophthalmol 107:998–1000
Ernst E (1989) Hämorheologie. Theorie, Klinik, Praxis. Enke, Stuttgart
Favilla I, Subbs K, Kowal L (1981) Abnormal fibrinolysis in retinal vein occlusion. Austral J Ophthalmol 9:213–218
Finkelstein D (1989)Retinal branch vein occlusion. In: Ryan SJ (ed) Retinal vascular disease. Mosby, St. Louis
Frangieh GT, Green R, Barraquer-Somers E, Finkelstein D (1982) Histopathologic study of nine branch retinal vein occlusions. Arch Ophthalmol 100:1132–1140
Fujio N, Feke GT, Ogasawara H, Goger DG, Yoshida A, McMeel JW (1994) Quantitative circulatory measurements in branch retinal vessel occlusion. Eye 8:324–328
Glacet-Bernard A, Chabanel A, Coscas G, Lelong F, Samama M (1990) Elevation de l'agrégation érythrocytaire au cours des occlusion veineuses retiennes. J Fr Ophthalmol 13:500–505
Gordon LG, Hayreh SS, Adams HPJ (1991) Microangiopathy of the brain, retina, and ear: improvement without immunosuppressive therapy. Stroke 22:933–937
Green WR, Chan CC, Hutchins GM, Terry JM (1981) Central retinal vein occlusion: a prospective histopathologic study of 29 eyes in 28 cases. Trans Am Ophthalmol Soc 79:371–421
Hamilton AM, Kohner EM, Rosen D, Bird AC, Dollery CT (1979) Experimental retinal branch vein occlusion in rhesus monkeys. I. Clinical appearances. Br J Ophthalmol 63:
Hansen LL, Wick J, Arntz R (1988) Randomisierte Studie zur Wirkung der isovoldmischen Hämodilution bei retinalen Venenastverschlüssen. Fortschr Ophthalmol 85:514–516
Hartmann A (1987) Die Bedeutung der Rheologie für zerebrale Durchblutungsstörungen. Aktuel Neurol 14:3541
Jung F, Kiesewetter H, Roggenkamp HG, Nüttgens HP, Ringelstein EB, Gerhards M, Kotitschke G, Wenzel E, Zeller H (1986) Bestimmung der Referenzbereiche rheologischer Parameter. Studie au 653 zufällig ausgewählten Probanden im Kreis Aachen. Klin Wochenschr 64:375–381
Jung F, Roggenkamp HG, Ringelstein EB, Leipnitz G, Schneider R, Kiesewetter H, Zeller H (1986) Effect of sex, age, body weight, and smoking on plasma viscosity. Klin Wochenschr 1076–1081
Jung F, Spitzer S, Kieswetter H, Feldmann M (1986) Comparative investigation of the microcirculation in patients with hypertension and healthy adults. Klin Wochenschr 64:
Jung F, Koscielny J, Mrowietz C, Wolf S, Kiesewetter H, Wenzel E (1990) Einfluß der Hämodilution auf den systemischen und den Kapillarhämatokrit. Infusionstherapie 17:268–275
Jung F, Pindur G, Kiesewetter H (1992) Plasma viscosity dependence on proteins and lipoproteins: results of the Aachen study. Clin Hemorheol 12:557–578
Kiesewetter H, Jung F, Roggenkamp HG (1984) Einfluß der Fließfähigkeit des Blutes auf die Versorgung des Gewebes. In: Heilmann L, Kiesewetter H, Ernst E (eds) Klinische Rheologie und Beta-1-Blockade. Zuckerschwerdt, Munich, pp 11–18
Kiesewetter H, Jung F, Ladwig KH, Waterloh E, Roebruck P, Schneider R, Kotitschke G, Bach R (1986) Prädik-torfunktion hämorheologischer Parameter im Hinblick auf die Inzidenz manifester Durchblutungsstörungen. Klin Wochenschr 64:653–667
Kiesewetter H, Jung F, Spitzer S, Wenzel E (1989) Die Fließeigenschaften des Blutes und ihre klinische Bedeutung beim arteriellen Gefäßpatienten. Internist 30:420–428
Letcher R, Chien H, Pickering T, Sealey I, Laragh J (1981) Direct relationship between blood pressure and blood viscosity in normal and hypertensive subjects. Am J Med 70:1195–1202
Lowe GDO, Drummond MM, Lorimer AR, Hutton I, Forbes CD, Prentice CRM, Barbenel JC (1980) Relation between extent of coronary artery disease and blood viscosity. Br Med J 80:673–677
McGrath MA, Wechssler F, Hunyor ABL, Penny R (1978) Systemic factors contributory to retinal vein occlusion. Arch Intern Med 138:216–220
McMillan DE (1974) Disturbance of serum viscosity in diabetes mellitus. Clin Invest 53:1071–1079
Mervill EW (1969) Rheology of blood. Physiol Rev 49:869–888
Peduzzi M, Codeluppi L, Poggi M, Baraldi P (1983) Abnormal blood viscosity and erythrocyte deformability in retinal vein occlusion. Am J Ophthalmol 96:399–400
Piermarocchi S, Segato T, Bertoja H, Midena E, Zucchetto M, Girolami A, Procidano M, Mares M (1990) Branch retinal vein occlusion: the pathogenetic role of blood velocity. Ann Ophthalmol 22:303–311
Remky A, Wolf S, Hamid M, Bertram B, Schulte K, Arend O, Reim M (1994) Einfluß der Hämodilution auf die retinale Hämodynamik bei Venenastverschlüssen. Ophthalmologe 91:288–292
Ring CP, Pearson TC, Sanders MD, Wetherly-Mein G (1976) Viscosity and retinal vein thrombosis. Br J Ophthalmol 60:397–410
Schmid-Schönbein H, Rieger H (1981) Why hemodilution in low flow states? Bibl Haematol 47:99–121
Schmid-Schönbein H, Teipel P (1987) Current developments in clinical hemorheology. Clin Hemorheol 203–238
Schulte K, Wolf S, Koch MJ, Arend O, Remky A, Ittel TH, Reim M (1993) Retinale Hämodynamik bei Patienten mit arterieller Hypertonie. Ophthalmologe 90:479–485
Sorlie PD, Garcia Palmieri MR, Costas R, Havlik RJ (1981) Hematocrit and risk of coronary heart disease: the Puerto Rico Heart Health Program. Am Heart J 101:456–461
Staurenghi G, Lonati C, Aschero M, Orzalesi N (1994) Arteriovenous crossing as a risk factor in branch retinal vein occlusion. Am J Ophthalmol 117:211–213
The Eye Disease Case-Control Study Group (1993) Risk factors for branch retinal vein occlusion. Am J Ophthalmol 116:286–296
Trope GE, Lowe GDO, McArdle BM, Douglas JT, Forbes CD, Prentice CM, Foulds WS (1983) Abnormal blood viscosity and haemostasis in long standing retinal vein occlusion. Br J Ophthalmol 67:137–142
Wallow IHL, Bindley CD, Linton KLP, Rastegar D (1991) Pericyte changes in branch retinal vein occlusion. Invest Ophthalmol Vis Sci 32:1455–1463
Wiek J, Schade M, Wiederholt M, Arntz HR, Hansen LL (1990) Haemorheological changes in patients with retinal vein occlusion after isovolaemic haemodilution. Br J Ophthalmol 74:665–669
Wolf S, Arend O, Bertram B, Remky A, Schulte K, Wald KJ, Reim M (1994) Hemodilution therapy in central retinal vein occlusion. One-year result of a prospective randomized study. Graefe's Arch Clin Exp Ophthalmol 232:33–39
Yarnell JWG, Baker IA, Sweetnam PM, Banington PJ, O'Brien JR, Whitehead PJ, Elwood PC (1991) Fibrinogen, plasma viscosity and white cell blood count are major risk factors for ischemic heart disease. Circulation 83:836–844
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Remky, A., Arend, O., Jung, F. et al. Haemorheology in patients with branch retinal vein occlusion with and without risk factors. Graefe's Arch Clin Exp Ophthalmol 234 (Suppl 1), S8–S12 (1996). https://doi.org/10.1007/BF02343041
Received:
Revised:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02343041