Pathophysiologic mechanisms based treatment for RVO related macular edema

The retinal vein occlusion (RVO) related to visual loss, results from changes in the blood‐retina barrier leading to the formation of an extracellular retinal edema; and conconmmitant arteriolar vasoconstruction, leading to tissue hypoxia, intracellular retinal edema and neuronal cell death. Patient...

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Bibliographic Details
Published in:Acta ophthalmologica (Oxford, England) England), 2014-09, Vol.92 (s253), p.0-0
Main Author: POURNARAS, C
Format: Article
Language:English
Subjects:
Hypoxia
Macular degeneration
Medical research
Ophthalmology
Online Access:Get full text
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Summary:The retinal vein occlusion (RVO) related to visual loss, results from changes in the blood‐retina barrier leading to the formation of an extracellular retinal edema; and conconmmitant arteriolar vasoconstruction, leading to tissue hypoxia, intracellular retinal edema and neuronal cell death. Patient’s evaluation requires the definition of the pathogenic role of systemic diseases affecting the retinal vessels wall. In addition, hemodynamic modifications of the retinal blood flow and primary and secondary thrombophilias, may trigger the manifestation of the RVO occlusive event. Current treatment of acute RVO aims to restore venous circulation. In that sense, isovolemic hemodilution leads to an increase of ocular blood flow and regression of tissue hypoxia. Grid macular photocoagulation, reversing the inner retinal tissue hypoxia, improves visual prognosis in eyes with macular edema following branch RVO. The intra‐vitreal treatments using anti‐VEGF and anti‐inflammatory drugs, reverse the veins abnormal permeability, relieve the macular edema, either in branch or central RVO, offering new insights for the management of those pathologies.
ISSN:1755-375X
1755-3768
DOI:10.1111/j.1755-3768.2014.1711.x