Role of Rheologic Factors in Patients with Acute Central Retinal Vein Occlusion

Purpose: To assess the rheologic findings in acute central retinal vein occlusion (CRVO) with respect to associated risk factors, the clinical appearance of ischemic or nonischemic CRVO, and to elucidate the etiology of possible changes. Methods: The authors enrolled 173 patients with acute CRVO (is...

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Veröffentlicht in:Ophthalmology (Rochester, Minn.) Minn.), 1996-01, Vol.103 (1), p.80-86
Hauptverfasser: Arend, Oliver, Remky, Andrews, Jung, Friedrich, Kiesewetter, Holger, Reim, Martin, Wolf, Sebastian
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container_end_page 86
container_issue 1
container_start_page 80
container_title Ophthalmology (Rochester, Minn.)
container_volume 103
creator Arend, Oliver
Remky, Andrews
Jung, Friedrich
Kiesewetter, Holger
Reim, Martin
Wolf, Sebastian
description Purpose: To assess the rheologic findings in acute central retinal vein occlusion (CRVO) with respect to associated risk factors, the clinical appearance of ischemic or nonischemic CRVO, and to elucidate the etiology of possible changes. Methods: The authors enrolled 173 patients with acute CRVO (ischemic, 33%; nonischemic, 67%) in this prospective study. One hundred seventy-three patients who were matched for age, sex, and cardiovascular risk factors served as control subjects. All patients underwent testing to determine hematocrit values, plasma viscosity (PV), erythrocyte aggregation (SEA), and erythrocyte rigidity (SER). Results: Hemocrit values and PV were increased significantly P < 0.01) in patients with ischemic and nonischemic CRVO compared with control subjects but did not differ significantly between the two groups. No significant differences were found in SEA and SER values between the clinical subsets of patients with CRVO and when the patients were compared with matched control subjects. Analysis revealed that hemocrit and PV values were (P < 0.001) increased significantly independent of associated cardiovascular risk factors. Conclusion: These results suggest that increased hemocrit and PV values may be contributing factors in the pathogenesis of CRVO.
doi_str_mv 10.1016/S0161-6420(96)30729-X
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Methods: The authors enrolled 173 patients with acute CRVO (ischemic, 33%; nonischemic, 67%) in this prospective study. One hundred seventy-three patients who were matched for age, sex, and cardiovascular risk factors served as control subjects. All patients underwent testing to determine hematocrit values, plasma viscosity (PV), erythrocyte aggregation (SEA), and erythrocyte rigidity (SER). Results: Hemocrit values and PV were increased significantly P &lt; 0.01) in patients with ischemic and nonischemic CRVO compared with control subjects but did not differ significantly between the two groups. No significant differences were found in SEA and SER values between the clinical subsets of patients with CRVO and when the patients were compared with matched control subjects. Analysis revealed that hemocrit and PV values were (P &lt; 0.001) increased significantly independent of associated cardiovascular risk factors. 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Remky, Andrews ; Jung, Friedrich ; Kiesewetter, Holger ; Reim, Martin ; Wolf, Sebastian</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c389t-68a10bc173e4541c0b82d1577511d0bb57fbd90913ef2691527a75753ca82de83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Acute Disease</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Blood Viscosity</topic><topic>Erythrocyte Aggregation</topic><topic>Erythrocyte Deformability</topic><topic>Female</topic><topic>Hematocrit</topic><topic>Hemorheology</topic><topic>Humans</topic><topic>Ischemia - blood</topic><topic>Ischemia - etiology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Ophthalmology</topic><topic>Prospective Studies</topic><topic>Retinal Vein</topic><topic>Retinal Vein Occlusion - blood</topic><topic>Retinal Vein Occlusion - etiology</topic><topic>Retinopathies</topic><topic>Risk Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Arend, Oliver</creatorcontrib><creatorcontrib>Remky, Andrews</creatorcontrib><creatorcontrib>Jung, Friedrich</creatorcontrib><creatorcontrib>Kiesewetter, Holger</creatorcontrib><creatorcontrib>Reim, Martin</creatorcontrib><creatorcontrib>Wolf, Sebastian</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Ophthalmology (Rochester, Minn.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Arend, Oliver</au><au>Remky, Andrews</au><au>Jung, Friedrich</au><au>Kiesewetter, Holger</au><au>Reim, Martin</au><au>Wolf, Sebastian</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Role of Rheologic Factors in Patients with Acute Central Retinal Vein Occlusion</atitle><jtitle>Ophthalmology (Rochester, Minn.)</jtitle><addtitle>Ophthalmology</addtitle><date>1996-01</date><risdate>1996</risdate><volume>103</volume><issue>1</issue><spage>80</spage><epage>86</epage><pages>80-86</pages><issn>0161-6420</issn><eissn>1549-4713</eissn><coden>OPHTDG</coden><abstract>Purpose: To assess the rheologic findings in acute central retinal vein occlusion (CRVO) with respect to associated risk factors, the clinical appearance of ischemic or nonischemic CRVO, and to elucidate the etiology of possible changes. Methods: The authors enrolled 173 patients with acute CRVO (ischemic, 33%; nonischemic, 67%) in this prospective study. One hundred seventy-three patients who were matched for age, sex, and cardiovascular risk factors served as control subjects. All patients underwent testing to determine hematocrit values, plasma viscosity (PV), erythrocyte aggregation (SEA), and erythrocyte rigidity (SER). Results: Hemocrit values and PV were increased significantly P &lt; 0.01) in patients with ischemic and nonischemic CRVO compared with control subjects but did not differ significantly between the two groups. No significant differences were found in SEA and SER values between the clinical subsets of patients with CRVO and when the patients were compared with matched control subjects. Analysis revealed that hemocrit and PV values were (P &lt; 0.001) increased significantly independent of associated cardiovascular risk factors. Conclusion: These results suggest that increased hemocrit and PV values may be contributing factors in the pathogenesis of CRVO.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>8628564</pmid><doi>10.1016/S0161-6420(96)30729-X</doi><tpages>7</tpages></addata></record>
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subjects Acute Disease
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Blood Viscosity
Erythrocyte Aggregation
Erythrocyte Deformability
Female
Hematocrit
Hemorheology
Humans
Ischemia - blood
Ischemia - etiology
Male
Medical sciences
Middle Aged
Ophthalmology
Prospective Studies
Retinal Vein
Retinal Vein Occlusion - blood
Retinal Vein Occlusion - etiology
Retinopathies
Risk Factors
title Role of Rheologic Factors in Patients with Acute Central Retinal Vein Occlusion
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