Profile and outcomes of retinal artery occlusion: The underrealized need to expedite presentation

To evaluate the clinical profile of retinal artery occlusion (RAO) and impact of presentation on visual outcomes. A retrospective analysis of case files of 3070 patients with RAO was performed using electronic medical records. Demographic data were analyzed using descriptive statistics. The differen...

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Bibliographic Details
Published in:Indian journal of ophthalmology 2025-01, Vol.73 (Suppl 1), p.S72-S77
Main Authors: Kadam, Yogita, Das, Anthony V, Narayanan, Raja, Balakrishnan, Neelima, Telukunta, Praneet, Takkar, Brijesh
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age composition
Aged
Aged, 80 and over
Analysis
Cardiovascular disease
Cerebrovascular diseases
Coronary artery disease
Coronary heart disease
Diabetes
Diabetes mellitus
Electronic medical records
Embolism
Eye diseases
Female
Fluorescein Angiography - methods
Follow-Up Studies
Fundus Oculi
Glaucoma
Health aspects
Heart diseases
Humans
Hyperhomocysteinemia
Hypertension
Incidence
India - epidemiology
Male
Medical records
Medical research
Medicine, Experimental
Middle Aged
Occlusion
Patients
Retina
Retinal Artery Occlusion - diagnosis
Retinal Artery Occlusion - epidemiology
Retinal Artery Occlusion - physiopathology
Retinal diseases
Retrospective Studies
Risk Factors
Statistical analysis
Visual Acuity
Young Adult
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Summary:To evaluate the clinical profile of retinal artery occlusion (RAO) and impact of presentation on visual outcomes. A retrospective analysis of case files of 3070 patients with RAO was performed using electronic medical records. Demographic data were analyzed using descriptive statistics. The differential distribution of risk factors of RAO with age was studied. Time to presentation and treatment effects were assessed using multivariate regression. Interaction plots were drawn to assess the impact of risk factors on outcomes. Central RAO was the most common type (n = 2443, 77.11%), followed by branch RAO (n = 500, 15.78%), while combined retinal vascular occlusion and cilio-RAO were rare. Most of the patients (71.40%) were male and had unilateral (96.81%) affliction. Almost half presented within the fifth (24.85%) and sixth (21.4%) decades of life. Hyperhomocysteinemia had a higher association (1.95, P = 0.0019) with younger patients (
ISSN:0301-4738
1998-3689
1998-3689
DOI:10.4103/IJO.IJO_1686_24