Clinical characteristics of recurrent non-arteritic retinal artery occlusion
Objectives To investigate the recurrent non-arteritic retinal artery occlusion (RAO) in the same or opposite eye.Methods We searched the RAO registry at Seoul National University Bundang Hospital and included patients with recurrent RAO in the present study. Ophthalmic and systemic features were ana...
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BMJ Publishing Group
2024-07-01
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| Series: | BMJ Open Ophthalmology |
| Online Access: | https://bmjophth.bmj.com/content/9/1/e001636.full |
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| author | Se Joon Woo Hyeong Min Kim |
| author_facet | Se Joon Woo Hyeong Min Kim |
| author_sort | Se Joon Woo |
| collection | DOAJ |
| description | Objectives To investigate the recurrent non-arteritic retinal artery occlusion (RAO) in the same or opposite eye.Methods We searched the RAO registry at Seoul National University Bundang Hospital and included patients with recurrent RAO in the present study. Ophthalmic and systemic features were analysed to identify risk factors and visual outcomes.Results Of the 850 patients in the non-arteritic RAO cohort, 11 (1.3%) experienced a second RAO recurrence, either in the same (5 patients; 0.6%) or opposite (6 patients; 0.7%) eye. The same eye group experienced an earlier recurrence (1–2 months, median 1 month) than the opposite eye group, where the time to recurrence was notably longer (8–66 months, median 22 months). Best corrected visual acuity (BCVA) in the same eye group decreased after the recurrence of RAO. In the same eye group, initial BCVA ranged from 20/200 to counting fingers (CF), while BCVA during RAO recurrence ranged from CF to hand motion. When RAO recurred in the opposite eye, the reduction in visual acuity was less severe than the reduction of the initial episode: initial episode ranged from 20/400 to light perception and recurrent episode ranged from 20/25 to 20/400. Patients exhibited varying degrees of carotid (81.8%) and cerebral (9.1%) artery occlusions. Additionally, one patient in each group (total 2 patients, 18.2%) experienced a stroke 6 months after RAO recurrence.Conclusions Since the RAO recurrences could lead to devastating visual impairment, it is essential to emphasise the importance of risk factor screening to patients while collaborating with neurologists and cardiologists. |
| format | Article |
| id | doaj-art-6ddd26783389435fbac37e8a4d5cb3ec |
| institution | Kabale University |
| issn | 2397-3269 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | BMJ Publishing Group |
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| series | BMJ Open Ophthalmology |
| spelling | doaj-art-6ddd26783389435fbac37e8a4d5cb3ec2025-02-06T08:40:09ZengBMJ Publishing GroupBMJ Open Ophthalmology2397-32692024-07-019110.1136/bmjophth-2024-001636Clinical characteristics of recurrent non-arteritic retinal artery occlusionSe Joon Woo0Hyeong Min Kim1Department of Ophthalmology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, KoreaDepartment of Ophthalmology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, KoreaObjectives To investigate the recurrent non-arteritic retinal artery occlusion (RAO) in the same or opposite eye.Methods We searched the RAO registry at Seoul National University Bundang Hospital and included patients with recurrent RAO in the present study. Ophthalmic and systemic features were analysed to identify risk factors and visual outcomes.Results Of the 850 patients in the non-arteritic RAO cohort, 11 (1.3%) experienced a second RAO recurrence, either in the same (5 patients; 0.6%) or opposite (6 patients; 0.7%) eye. The same eye group experienced an earlier recurrence (1–2 months, median 1 month) than the opposite eye group, where the time to recurrence was notably longer (8–66 months, median 22 months). Best corrected visual acuity (BCVA) in the same eye group decreased after the recurrence of RAO. In the same eye group, initial BCVA ranged from 20/200 to counting fingers (CF), while BCVA during RAO recurrence ranged from CF to hand motion. When RAO recurred in the opposite eye, the reduction in visual acuity was less severe than the reduction of the initial episode: initial episode ranged from 20/400 to light perception and recurrent episode ranged from 20/25 to 20/400. Patients exhibited varying degrees of carotid (81.8%) and cerebral (9.1%) artery occlusions. Additionally, one patient in each group (total 2 patients, 18.2%) experienced a stroke 6 months after RAO recurrence.Conclusions Since the RAO recurrences could lead to devastating visual impairment, it is essential to emphasise the importance of risk factor screening to patients while collaborating with neurologists and cardiologists.https://bmjophth.bmj.com/content/9/1/e001636.full |
| spellingShingle | Se Joon Woo Hyeong Min Kim Clinical characteristics of recurrent non-arteritic retinal artery occlusion BMJ Open Ophthalmology |
| title | Clinical characteristics of recurrent non-arteritic retinal artery occlusion |
| title_full | Clinical characteristics of recurrent non-arteritic retinal artery occlusion |
| title_fullStr | Clinical characteristics of recurrent non-arteritic retinal artery occlusion |
| title_full_unstemmed | Clinical characteristics of recurrent non-arteritic retinal artery occlusion |
| title_short | Clinical characteristics of recurrent non-arteritic retinal artery occlusion |
| title_sort | clinical characteristics of recurrent non arteritic retinal artery occlusion |
| url | https://bmjophth.bmj.com/content/9/1/e001636.full |
| work_keys_str_mv | AT sejoonwoo clinicalcharacteristicsofrecurrentnonarteriticretinalarteryocclusion AT hyeongminkim clinicalcharacteristicsofrecurrentnonarteriticretinalarteryocclusion |