Retinal vein occlusion in patients with primary angle closure: a prospective case-control study.

Autor: Salimi A; Department of Ophthalmology and Visual Sciences, Faculty of Medicine, McGill University, Montreal, QC., Li C; Department of Ophthalmology and Visual Sciences, Faculty of Medicine, McGill University, Montreal, QC., Watt H; Department of Ophthalmology and Visual Sciences, Faculty of Medicine, McGill University, Montreal, QC., Hasan J; Department of Ophthalmology and Visual Sciences, Faculty of Medicine, McGill University, Montreal, QC., Galic J; Department of Ophthalmology and Visual Sciences, Faculty of Medicine, McGill University, Montreal, QC., Chen J; Department of Ophthalmology and Visual Sciences, Faculty of Medicine, McGill University, Montreal, QC., Saheb H; Department of Ophthalmology and Visual Sciences, Faculty of Medicine, McGill University, Montreal, QC. Electronic address: hady.saheb@mcgill.ca.
Jazyk: angličtina
Zdroj: Canadian journal of ophthalmology. Journal canadien d'ophtalmologie [Can J Ophthalmol] 2024 Jun; Vol. 59 (3), pp. 166-171. Date of Electronic Publication: 2023 May 13.
DOI: 10.1016/j.jcjo.2023.04.008
Abstrakt: Objective: To compare the prevalence of angle closure in eyes with retinal vein occlusion (RVO) with control eyes and assess the possible association between angle-closure and RVO.
Patients and Methods: This prospective, blinded case-control study included patients with a history of RVO (cases) and control individuals matched for age and refractive error. Clinical characteristics and angle-based structures derived from anterior-segment optical coherence tomography (AS-OCT) were analyzed.
Results: Eighty-eight patients (44 per group) were included. The average age of the RVO and control groups was 59.8 ± 11.6 years and 60.8 ± 9.0 years, respectively (p = 0.667). There were no significant differences in terms of clinical characteristics between the 2 groups, including intraocular pressure (p = 0.837) and Shaffer gonioscopy grading (p = 0.620). None of the AS-OCT-derived angle characteristics were significantly different between the 2 groups. The number of angle-closure diagnoses between the RVO group (1 primary angle closure and 7 primary angle-closure suspects) and the control group (6 primary angle-closure suspects) did not differ significantly (p = 0.560). Anterior-chamber depth (ACD) was shallower in RVO eyes (2.72 ± 0.31 mm) than in the contralateral non-RVO eyes (2.76 ± 0.31 mm; p = 0.014).
Conclusions: This prospective, blinded, matched case-control study did not evidence any significant differences in clinical and AS-OCT-derived structural measures between RVO and control eyes. However, RVO eyes, compared with their contralateral non-RVO eyes, had a slightly shallower ACD. These findings collectively suggest that an association between primary angle-closure mechanisms and RVO is unlikely. However, the shallower ACD in RVO eyes could potentially put them at higher risk for intermittent or permanent pupillary block.
(Copyright © 2023 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: