Retinal vascular disease, also referred to as 'stroke in the eye,' occurs in various forms such as retinal artery occlusion, retinal vein occlusion, ocular ischemic syndrome, hypertensive retinopathy, and more. Among these, retinal vein occlusion is a disease that occurs due to problems in blood circulation, leading to blockage of retinal vessels and reduced oxygen supply, resulting in retinal damage and bleeding in the blood vessels
Classification and Symptoms
Retinal Artery Occlusion
Retinal artery occlusion can be classified into central retinal artery occlusion and branch retinal artery occlusion based on the location of the vascular occlusion. The causes of occurrence are often unclear, but factors such as emboli or blood clots can act as triggering factors. In particular, in cases of central retinal artery occlusion, the visual prognosis is usually poor, and there is a risk of progression to systemic disease.
Central retinal artery occlusion resulting
in a severe narrowing of the retinal artery, and the posterior segment of the retina appearing blurry.
Central retinal artery occlusion resulting
in an occluded artery that appears as black lines with non-fluorescence.
Retinal Vein Occlusion
Retinal vein occlusion can be classified into central retinal vein occlusion and branch retinal vein occlusion based on the location of the vascular occlusion. Hypertension (high blood pressure), diabetes, and hyperlipidemia (high cholesterol) can lead to the occurrence of venous occlusion. It is not classified as an ophthalmic emergency, and the prognosis is generally favorable with treatment. However, due to the gradual narrowing of the veins in this condition, delayed treatment may result in visual impairment. Therefore, comprehensive systemic examinations should be conducted to address the underlying conditions and initiate appropriate treatment.
Branch retinal vein occlusion resulting
in retinal vascular tortuosity and hemorrhage
Central retinal vein occlusion resulting
in venodilation and oblique veins.
Diagnosis
Fluorescein angiography (FAG), indocyanine green angiography (ICG), optical coherence tomography (OCT),
and other equipment are utilized to diagnose various retinal vascular diseases. Depending on the underlying conditions, treatment options vary,
which may include medication, intraocular injections, laser treatment, and surgical treatment.
Treatment
Depending on the cause of retinal vascular occlusion, treatment options vary, which may include medication, laser treatment, intraocular injections, etc.
If the central part of the blood vessel is obstructed rather than a branch, rapid treatment is essential, as it can lead not only to severe vision impairment but also to complications
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