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Title:
Tributary vein obstruction pathogenesis and treatment of sequelae | Documenta Ophthalmologica
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An acute branch retinal vein obstruction or occlusion is followed by a series of haemodynamic events designed to overcome the obstruction and restore equilibrium within the retinal vasculature. Experimental studies would indicate that the immediate post-obstructive retinal oedema is probably the result of capillary and venular distension due to the sudden increase in intraluminar hydrostatic pressure. The widespread extravasation of blood which occurs some time later is probably the result of degenerative changes in the capillary walls secondary to prolonged stasis and hypoxia. In many tributary vein obstructions, readjustments within the involved retinal microvasculature are effective in overcoming the effects of the obstruction. The involved retinal capillaries gradually return to normal or nearly normal, with preservation of their physiological functions. Good vision is often maintained and no therapy is required. In other cases, often where associated arterial insufficiency exists, significant venous stasis persists and the retinal capillaries remain incompetent with the formation of intraretinal oedema. Evidence available at this time would indicate that selective photocoagulation is of some benefit in preventing the chronic accumulation of macular fluid in certain cases and avoiding the unwanted sequelae of cystic macular degenerative changes and pigmentation abnormalities at the fovea. Photocoagulation appears to be less justified in cases of long-established macular oedema with degenerative changes already in evidence. In certain varieties of tributary vein occlusion characterized by marked arterial insufficiency, the involved capillary bed fails to perfuse fully. Neovascularization is frequently associated with extensive areas of non-perfused retina. Neovascularization, although it may appear 3 β 6 months following the acute obstructive episode, rarely demands treatment within the year. The neovascularization associated with a branch vein occlusion is generally subtle, slow-growing, and responds well to photocoagulation. Papillary neovascularization indicates widespread ischaemia, and often suggests implication of further quadrants of the retina in the ischaemic process. Papillary neovascularization can be indirectly influenced by extensive photocoagulation of the ischaemic retina resulting from the vein occlusion.
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Keywords {π}
google, scholar, retinal, ophthal, vein, occlusion, branch, obstruction, photocoagulation, retina, article, venous, archer, macular, neovascularization, trans, disease, arch, tributary, treatment, soc, vascular, privacy, cookies, content, studies, oedema, ocular, thrombosis, acta, information, publish, search, experimental, therapy, arterial, insufficiency, access, chapter, ophthalmology, wise, klin, mbl, data, log, journal, research, ophthalmologica, pathogenesis, sequelae,
Topics {βοΈ}
long-established macular oedema month download article/chapter post-obstructive retinal oedema retinal circulatory disorders arterial insufficiency exists marked arterial insufficiency retinal vein obstruction retinal vein occlusion tributary vein obstructions privacy choices/manage cookies retinal vascular occlusion retinal vasculature involved retinal microvasculature branch vein occlusion central retinal vein retinal vein thrombosis retinal venous occlusion acute obstructive episode full article pdf branch vein obstructions retinal vessel obstruction retinal vascular disease induced ocular hypertension ocular hypertension induced factors influencing retinal arterial insufficiency exaggerated macular response macular dysfunction secondary retinal venous occlusions occlusive vascular disease branch venous thrombosis retinal blood vessels european economic area haemodynamic events designed venular distension due intraluminar hydrostatic pressure swept source oct low molecular weight scieral suction cup intraretinal oedema cystic macular degenerative fluorescein fundus angiography capillary walls secondary ischaemic retina resulting accepting optional cookies related subjects den netzhautvenen check access instant access conditions privacy policy
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headline:Tributary vein obstruction pathogenesis and treatment of sequelae
description:An acute branch retinal vein obstruction or occlusion is followed by a series of haemodynamic events designed to overcome the obstruction and restore equilibrium within the retinal vasculature. Experimental studies would indicate that the immediate post-obstructive retinal oedema is probably the result of capillary and venular distension due to the sudden increase in intraluminar hydrostatic pressure. The widespread extravasation of blood which occurs some time later is probably the result of degenerative changes in the capillary walls secondary to prolonged stasis and hypoxia. In many tributary vein obstructions, readjustments within the involved retinal microvasculature are effective in overcoming the effects of the obstruction. The involved retinal capillaries gradually return to normal or nearly normal, with preservation of their physiological functions. Good vision is often maintained and no therapy is required. In other cases, often where associated arterial insufficiency exists, significant venous stasis persists and the retinal capillaries remain incompetent with the formation of intraretinal oedema. Evidence available at this time would indicate that selective photocoagulation is of some benefit in preventing the chronic accumulation of macular fluid in certain cases and avoiding the unwanted sequelae of cystic macular degenerative changes and pigmentation abnormalities at the fovea. Photocoagulation appears to be less justified in cases of long-established macular oedema with degenerative changes already in evidence. In certain varieties of tributary vein occlusion characterized by marked arterial insufficiency, the involved capillary bed fails to perfuse fully. Neovascularization is frequently associated with extensive areas of non-perfused retina. Neovascularization, although it may appear 3 β 6 months following the acute obstructive episode, rarely demands treatment within the year. The neovascularization associated with a branch vein occlusion is generally subtle, slow-growing, and responds well to photocoagulation. Papillary neovascularization indicates widespread ischaemia, and often suggests implication of further quadrants of the retina in the ischaemic process. Papillary neovascularization can be indirectly influenced by extensive photocoagulation of the ischaemic retina resulting from the vein occlusion.
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Retina
Macular Oedema
Retinal Vasculature
Retinal Oedema
Arterial Insufficiency
Ophthalmology
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headline:Tributary vein obstruction pathogenesis and treatment of sequelae
description:An acute branch retinal vein obstruction or occlusion is followed by a series of haemodynamic events designed to overcome the obstruction and restore equilibrium within the retinal vasculature. Experimental studies would indicate that the immediate post-obstructive retinal oedema is probably the result of capillary and venular distension due to the sudden increase in intraluminar hydrostatic pressure. The widespread extravasation of blood which occurs some time later is probably the result of degenerative changes in the capillary walls secondary to prolonged stasis and hypoxia. In many tributary vein obstructions, readjustments within the involved retinal microvasculature are effective in overcoming the effects of the obstruction. The involved retinal capillaries gradually return to normal or nearly normal, with preservation of their physiological functions. Good vision is often maintained and no therapy is required. In other cases, often where associated arterial insufficiency exists, significant venous stasis persists and the retinal capillaries remain incompetent with the formation of intraretinal oedema. Evidence available at this time would indicate that selective photocoagulation is of some benefit in preventing the chronic accumulation of macular fluid in certain cases and avoiding the unwanted sequelae of cystic macular degenerative changes and pigmentation abnormalities at the fovea. Photocoagulation appears to be less justified in cases of long-established macular oedema with degenerative changes already in evidence. In certain varieties of tributary vein occlusion characterized by marked arterial insufficiency, the involved capillary bed fails to perfuse fully. Neovascularization is frequently associated with extensive areas of non-perfused retina. Neovascularization, although it may appear 3 β 6 months following the acute obstructive episode, rarely demands treatment within the year. The neovascularization associated with a branch vein occlusion is generally subtle, slow-growing, and responds well to photocoagulation. Papillary neovascularization indicates widespread ischaemia, and often suggests implication of further quadrants of the retina in the ischaemic process. Papillary neovascularization can be indirectly influenced by extensive photocoagulation of the ischaemic retina resulting from the vein occlusion.
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Macular Oedema
Retinal Vasculature
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Arterial Insufficiency
Ophthalmology
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