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Systemic abnormalities associated with retinal vein occlusion in young patients

Authors Sinawat S, Bunyavee C, Ratanapakorn T, Sinawat S, Laovirojjanakul W, Yospaiboon Y

Received 21 November 2016

Accepted for publication 25 January 2017

Published 23 February 2017 Volume 2017:11 Pages 441—447

DOI https://doi.org/10.2147/OPTH.S128341

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Colin Mak

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser

Suthasinee Sinawat,1 Chavisa Bunyavee,2 Tanapat Ratanapakorn,1 Supat Sinawat,3 Wipada Laovirojjanakul,1 Yosanan Yospaiboon1

1KKU Eye Center, Department of Ophthalmology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand; 2Department of Ophthalmology, Faculty of Medicine, Nawamindaradhiraj University, Bangkok, Thailand; 3Department of Physiology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand

Objectives:
To study the systemic abnormalities associated with retinal vein occlusion in patients aged ≤50 years with a particular emphasis on atherosclerotic diseases and thrombophilic disorders.
Methods:
Medical charts of patients, aged ≤50 years whose diagnoses were retinal vein occlusions during the period 1995–2015 were retrospectively reviewed. The primary outcome was the number of systemic abnormalities associated with these patients. Secondary outcomes included types of retinal vein occlusion and sites of occlusion.
Results:
Atherosclerotic diseases were the most common systemic abnormalities associated with retinal vein occlusion and accounted for 55.1% of the patients in the study. Hypertension in 27.55%, diabetes mellitus in 16.33%, and 5.1% with dyslipidemia were noted. The number of thrombophilic disorders seemed to be less than expected and were noted in only 5.1%. Other systemic abnormalities included viral hepatitis infection, systemic lupus erythematosus, and acquired immunodeficiency syndrome. Oral contraceptives were used by some patients.
Conclusion:
Atherosclerotic diseases remained the most commonly associated systemic diseases in the majority of these patients. Approach to these patients should include a screening for hypertension, diabetes mellitus, and lipid abnormalities. Thrombophilia should also be considered where no obvious atherosclerotic diseases are found or if the patient is <40 years old, a history of thrombosis or a family history of thrombosis is possible.

Keywords: retinal vein occlusion, systemic diseases, young patients
 

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