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Retinal vascular occlusion

A blockage or a clot in the retinal blood vessels causes a retinal vascular occlusion. It is a potentially serious retinal condition which can cause loss of your eyesight if untreated.

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what are the Types of Retinal Vascular Occlusions?

Retinal vein occlusion

Retinal artery occlusion

  • 1. Retinal Vein Occlusion

    Venous Occlusions are the more common of the two and have a better prognosis. It can be Central Retinal Vein Occlusion, Branch Retinal Vein Occlusion Or Hemi Retinal Vein occlusion. Read more here.

  • 2. Retinal Artery Occlusion

    It can be Central Retinal Artery Occlusion, Branch Retinal Artery Occlusion. Prognosis is poorer vs. Venous Occlusions. Read more here.

Signs and symptoms of Retinal Vascular Occlusion

  • Gradual or sudden painless loss of vision

  • Blurry or missing letters while reading

  • Dark spots or lines floating in your vision

Risk factors of Retinal vascular occlusion

In older patients, the most common risk factors are

  • Diabetes

  • Hypertension

  • Obesity

  • Atherosclerosis / cardiac problems

  • Smoking

  • Glaucoma

  • Coagulation disorders / blood disorders

  • Inflammatory disorders like giant cell arteritis

Diagnosis of Retina Vascular Occlusions

The following Investigations help us visualise the blockage, see the areas of non-perfusion and also document the state of the retina and the macula:

  • Comprehensive dilated retina exam

  • Optical coherence tomography (OCT)

  • Fluorescein Angiography

  • OCT angiography

  • Cardiologist

Treatment of Retinal Vascular Occlusion

Treatment differs if it’s retinal venous or retinal arterial occlusion.

Treatment of Venous Occlusions

  • Lifestyle modification and control of systemic risk factors such as diabetes

  • Medical therapy such as intravitreal injections

  • Laser photocoagulation & microincision vitrectomy surgery

Regular follow up is essential to monitor the disease process. Read more about Retinal Vein Occlusion and its treatment here

Treatment of Arterial Occlusion

This is a medical emergency and requires urgent treatment. The patient also requires urgent attention from a neurologist & cardiologist to assess the risk of a stroke.

  • Lifestyle modification, control of systemic risk factors such as diabetes and high blood pressure, Ocular massage, vasodilators are usually tried.

  • Hyperbaric Oxygen therapy may also be tried- new upcoming research Read more about Retinal Artery Occlusion and its treatment here.

Prevention of Retinal Vascular Occlusions

The best way to prevent retinal vascular occlusion is to identify and treat the risk factors

Since retinal vascular occlusion stems from vascular problems, it’s important to make lifestyle and dietary changes to protect your vasculature (blood vessels) and keep your heart healthy. These changes include:

  • Exercising regularly

  • Maintaining a healthy weight

  • Eating a balanced diet rich in antioxidants

  • Not smoking

  • Controlling diabetes by keeping your blood sugar at a healthy level

  • Monitoring & control of hypertension (high blood pressure) and cardiac probelms

  • Regular follow-ups with doctors if you take OCPs or other medication which may predispose you to a hypercoagulable state.

  • If you have a family history of heart or vascular eye problems, please get regular eye check-ups done.

  • Regular follow ups if you have conditions like vasculitis.

Problems associated with Retinal Vascular Occlusions

Other than loss of eye sight some other complications or sequelae may be

  • 1. Glaucoma

  • 2. Stroke

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