Understanding Retinal Vein Occlusions

A retinal vein occlusion occurs when a vein carrying blood away from the retina becomes blocked. This can cause swelling, bleeding, and vision changes. Early diagnosis and treatment help protect vision and manage complications.

What Are Retinal Vein Occlusions?

A retinal vein occlusion (RVO) happens when one of the veins in the retina is blocked, causing blood and fluid to back up. This can damage the retina and reduce vision.

There are two main types:

Central Retinal Vein Occlusion (CRVO):

Blockage of the main vein draining blood from the retina, leading to widespread swelling and vision loss.

Branch Retinal Vein Occlusion (BRVO):

Blockage of a smaller branch vein, affecting only part of the retina and visual field.

Symptoms

Because symptoms can overlap with other retinal conditions, an eye exam is essential for accurate diagnosis.

Symptoms may appear suddenly or develop gradually, and can include:

01. Blurred or dim vision

02. Partial or complete loss of vision (in the affected eye)

03. Distorted vision

04. Spots or floaters caused by bleeding in the eye

Risk Factors

Risk factors include:

Diagnosis & Testing

Exams and tests may include:

Dilated Eye Exam:

Reveals circulation problems and retinal damage.

Detects retinal bleeding, swelling, or blocked veins.

Optical Coherence Tomography (OCT):

Fluorescein Angiography:

Measures swelling in the retina (macular edema).

Fluorescein Angiography:

Reveals blockages and leaks in retinal veins.

Highlights circulation problems in retinal veins.

Blood Tests and Systemic Evaluation:

Identifies underlying causes of retinal occlusion.

Check for underlying conditions that may have contributed to the occlusion.

Treatment Options

While there is no cure for RVO, treatments help manage complications:

Anti-VEGF Injections:

Reduce swelling and improve vision in cases of macular edema.

Steroid Injections:

May be used in some cases to reduce retinal swelling.

Laser Therapy:

Treats abnormal new blood vessel growth and reduces bleeding risk.

Managing Underlying Conditions:

Controlling blood pressure, cholesterol, and diabetes lowers the chance of recurrence.

Living with Retinal Vein Occlusions

Living with RVO often means managing both eye health and systemic health. Helpful steps include:

Attending regular follow-up visits for eye exams and injections if prescribed.

Working with your primary doctor to control risk factors.

Using low-vision aids to adapt if vision loss remains.

At Retina Consultants of Hawaii, our specialists provide advanced care to help patients with vein occlusions maintain vision and quality of life.

Next Steps in Your Care

If you experience sudden or unexplained vision loss or blurring, contact your eye care provider immediately. If a retinal vein occlusion is suspected, they can coordinate specialized care with our team.

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