Abstract
Purpose
To investigate the prognostic value of optic nerve head swelling (ONHS) in central retinal vein occlusion (CRVO) and compare it to other prognostic factors.
Methods
Seventy-four patients with CRVO were studied retrospectively. The parameters analysed were the initial presence of ONHS, the fluorescein angiographic appearance, the implicit time in the 30-Hz flicker ERG and the initial visual acuity. The aspects of outcome studied were the development of neovascular complications and the visual acuity 1 year after the thrombotic event.
Results
Fluorescein angiography, ERG and initial visual acuity were of prognostic value in CRVO, whereas ONHS was of questionable value.
Conclusion
ONHS is most likely of no prognostic value in CRVO.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Altman DG (1991) Practical statistics for medical research. Chapman & Hall, London, pp 403–409
Andreasson S, Ponjavic V, Ehinger B (1993) Full-field electroretinogram in a patient with cutaneous melanoma-associated retinopathy. Acta Ophthalmol (Copenh) 71:487–490
Beaumont PE, Kang HK (2000) Pattern of vascular nonperfusion in retinal venous occlusions occurring within the optic nerve with and without optic nerve head swelling. Arch Ophthalmol 118:1357–1363
Central Vein Occlusion Study Group N report (1995) A randomized clinical trial of early panretinal photocoagulation for ischemic central vein occlusion. Ophthalmology 102:1434–1444
Central Vein Occlusion Study Group (1997) Natural history and clinical management of central retinal vein occlusion. Arch Ophthalmol 115:486–491
Hart CD, Sanders MD, Miller SJH (1971) Benign retinal vasculitis. Clinical and fluorescein angiographic study. Br J Ophthalmol 55:721–733
Hayreh SS (1972) Optic disc vasculitis. Br J Ophthalmol 56:652–670
Hayreh SS (1976) So-called "central retinal vein occlusion". II. Venous stasis retinopathy. Ophthalmologica 172:14–37
Hayreh SS (1983) Classification of central retinal vein occlusion. Ophthalmology 90:458–474
Hayreh SS, Klugman MR, Beri M, Kimura AE, Podhajsky P (1990) Differentiation of ischemic from non-ischemic central retinal vein occlusion during the early acute phase. Graefes Arch Clin Exp Ophthalmol 228:201–217
Laatikainen L, Kohner EM (1976) Fluorescein angiography and its prognostic significance in central retinal vein occlusion. Br J Ophthalmol 60:411–418
Larsson J, Andreasson S, Bauer B (1998) Cone b-wave implicit time as an early predictor of rubeosis in central retinal vein occlusion. Am J Ophthalmol 125:247–249
Larsson J, Bauer B, Cavallin-Sjoberg U, Andreasson S (1998) Fluorescein angiography versus ERG for predicting the prognosis in central retinal vein occlusion. Acta Ophthalmol Scand 7:456–460
Larsson J, Bauer B, Andreasson S (2000) The 30-Hz flicker cone ERG for monitoring the early course of central retinal vein occlusion. Acta Ophthalmol Scand 78:187–190
Lyle TK, Wybar K (1961) Retinal vasculitis. Br J Ophthalmol 45:778–788
Sinclair SH, Gragoudas ES (1979) Prognosis for rubeosis iridis following central retinal vein occlusion. Br J Ophthalmol 63:735–743
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Hvarfner, C., Larsson, J. Is optic nerve head swelling of prognostic value in central retinal vein occlusion?. Graefe's Arch Clin Exp Ophthalmol 241, 463–467 (2003). https://doi.org/10.1007/s00417-003-0662-4
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00417-003-0662-4