We performed a systematic review and analyzed the current available data on branch retinal artery occlusion (BRAO) with simultaneous central retinal vein obstruction (CRVO), a rarely described occurrence. MEDLINE/PubMed and ISI Web of Sciences searches were performed according to MOOSE guidelines. Studies were considered eligible if they (1) described patients with simultaneous BRAO + CRVO and (2) had been published in peer-reviewed journals. We initially identified 239 records from databases. Ultimately, only 19 reports met the selection criteria. Twenty-nine patients (15 men, 14 women; mean age 43 ± 15 years) were analyzed. Seventeen (59%) patients presented vascular risk factors. Mean visual acuity at onset and final visual outcome were 20/83 and 20/45, respectively, an insignificant improvement. Vision improved in 48% of cases. A marked heterogeneity in treatment approach was found. Eight (28%) patients received no therapy, whereas for 21 (72%) a large variety of topical and/or systemic drugs was given. In the treated group, mean visual acuity at onset and final visual outcome were 20/90 and 20/44, respectively, a not statistically significant improvement. Results suggest that combined BRAO + CRVO occurs at a younger age than isolated BRAO or CRVO. At present, there is insufficient evidence to support any specific management to improve vision in simultaneous BRAO + CRVO.

Combined Branch Retinal Artery and Central Retinal Vein Occlusion: A Systematic Review / Pinna, Antonio; Zinellu, Angelo; Serra, Rita; Boscia, Giacomo; Ronchi, Lorenza; Dore, Stefano. - In: VISION. - ISSN 2411-5150. - 7:3(2023), p. 51. [10.3390/vision7030051]

Combined Branch Retinal Artery and Central Retinal Vein Occlusion: A Systematic Review

Pinna, Antonio
;
Zinellu, Angelo;Serra, Rita;Boscia, Giacomo;Ronchi, Lorenza;Dore, Stefano
2023-01-01

Abstract

We performed a systematic review and analyzed the current available data on branch retinal artery occlusion (BRAO) with simultaneous central retinal vein obstruction (CRVO), a rarely described occurrence. MEDLINE/PubMed and ISI Web of Sciences searches were performed according to MOOSE guidelines. Studies were considered eligible if they (1) described patients with simultaneous BRAO + CRVO and (2) had been published in peer-reviewed journals. We initially identified 239 records from databases. Ultimately, only 19 reports met the selection criteria. Twenty-nine patients (15 men, 14 women; mean age 43 ± 15 years) were analyzed. Seventeen (59%) patients presented vascular risk factors. Mean visual acuity at onset and final visual outcome were 20/83 and 20/45, respectively, an insignificant improvement. Vision improved in 48% of cases. A marked heterogeneity in treatment approach was found. Eight (28%) patients received no therapy, whereas for 21 (72%) a large variety of topical and/or systemic drugs was given. In the treated group, mean visual acuity at onset and final visual outcome were 20/90 and 20/44, respectively, a not statistically significant improvement. Results suggest that combined BRAO + CRVO occurs at a younger age than isolated BRAO or CRVO. At present, there is insufficient evidence to support any specific management to improve vision in simultaneous BRAO + CRVO.
2023
Combined Branch Retinal Artery and Central Retinal Vein Occlusion: A Systematic Review / Pinna, Antonio; Zinellu, Angelo; Serra, Rita; Boscia, Giacomo; Ronchi, Lorenza; Dore, Stefano. - In: VISION. - ISSN 2411-5150. - 7:3(2023), p. 51. [10.3390/vision7030051]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11388/313509
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