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Research Paper | Ophthalmology | India | Volume 12 Issue 3, March 2023

Central Retinal Vein Occlusion of the Young: A Profile

VS Gurunadh | Ajay Banarji | K Satish | Pk Sahoo4 | G Anusha

Abstract: Background and objective: In contrast to the central retinal vein occlusion (CVO) seen in the adults, its affection in non - diabetic and non - hypertensive young people has been limited. Are these two different entities or one and the same? Methods: Fifty eyes of 43 non - diabetic and non - hypertensive patients with age less than 40 years who had CVO were examined. Results: There were 36 males (83.72%) and 07 females (16.28%). Mean BCVA at presentation was 6/60 and 6/18 at final follow - up after 60 months.29 patients (67.44%) were less than 35 years of age. Bilateral affection was seen in 7 (16.28%).13 patients (30.23%) had RAPD. Keratic precipitates were seen in 5 eyes (10 %). Neovascularisation of the iris was seen in 11 eyes (22%), cystoid macular edema in 32 eyes (64%) and retinal neovascularisations were noted in 25 (50%) eyes Neovascularisation of the disc was noted 14 eyes (28%) but secondary glaucoma was seen only in 11/50 eyes (22%). Systemic associations included active pulmonary tuberculosis (8%), toxoplasmosis (4%), multiple myeloma, Hodgkin's lymphoma and Waldenstrom's macroglobulinemia (2% each). Eyes developing NVD and NVE were subjected to laser photocoagulation. Clinical improvement was noted in 27 eyes with improvement in the final best corrected visual acuity noted in 14 eyes (P<0.05). Conclusion: CVO of the young has a varied different presentation than in adults. A thorough evaluation is a must.

Keywords: Central Retinal Vein Occlusion In Young, scatter photocoagulation, hyperviscosity syndrome, systemic syndrome

Edition: Volume 12 Issue 3, March 2023,

Pages: 1320 - 1322