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central retinal vein occlusion (CRVO)
also see retinal vein occlusion
Etiology:
- risk factors
- atherosclerosis [3] ?
- hypertension
- glaucoma
- hypercoagulable state
Pathology:
- blockage of the central retinal vein
- macular edema
Clinical manifestations:
- acute painless blurred monocular vision
Special laboratory:
- ophthalmoscopy:
- diffuse retinal hemorrhages
- dilated tortuous veins
Differential diagnosis:
- central retinal artery occlusion
- retinal whitening with a cherry red spot in the fovea
- constriction of an arteriole may be seen
- retinal hemorrhages uncommon
Management:
- aflibercept for treatment of resultant macular edema [NGC (NICE)]
Related
central retinal vein
General
retinal vein occlusion
References
- Medical Knowledge Self Assessment Program (MKSAP) 16, 18, 19.
American College of Physicians, Philadelphia 2012, 2018,2022.
- PubMed Health: Retinal vein occlusion
Central retinal vein occlusion; Branch retinal vein occlusion;
CRVO; BRVO
http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0004583/
- NEJM Knowledge+ Ophthalmology
- Wong TY, Scott IU.
Clinical practice. Retinal-vein occlusion.
N Engl J Med. 2010 Nov 25;363(22):2135-44.
PMID: 21105795 Review.
https://www.nejm.org/doi/pdf/10.1056/NEJMcp1003934