Clinical implications of retinal oximetry in retinal vein occlusion : a review

© 2021 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd..

PURPOSE: To review retinal vein occlusion (RVO) and its relationship with retinal oxygen saturation via automated retinal oximetry in eyes with RVO.

METHODS: A literature review was performed in PubMed and Medline until October 2021 utilizing specific keywords and cross-matched reference lists.

RESULTS: This review found RVO to be associated with risk factors including age, hypertension, cardiovascular and metabolic conditions, male gender, and glaucoma. These may be attributed to a breakdown of regulatory processes in the retina. Retinal venous oxygen saturation (SvO2 ) and arteriovenous difference in eyes with central RVO have been found to be reduced and elevated, respectively. The literature indicates variable and contradictory findings in regard to branch RVO and retinal oxygenation. Additionally, ischaemic eyes have been found to have elevated retinal arterial oxygen saturation; however, the literature reports variable results regarding SvO2 levels. Medications have been suggested to increase SvO2 in RVO eyes, which may represent an important mechanism for disease management. Ranibizumab is currently the most studied drug for retinal oxygenation in RVO and has been suggested to increase SvO2 in RVO eyes. In comparison, dexamethasone was found to decrease SvO2.

CONCLUSION: The current literature on retinal oxygenation in ischaemic subtypes of RVO and in drug therapies is minimal, and further work is required to expand upon our understanding of how ischaemia and drugs influence retinal oxygenation and clinical outcomes.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:100

Enthalten in:

Acta ophthalmologica - 100(2022), 6 vom: 17. Sept., Seite 624-631

Sprache:

Englisch

Beteiligte Personen:

Belamkar, Aditya V [VerfasserIn]
Jabbehdari, Sayena [VerfasserIn]
Harris, Alon [VerfasserIn]
Hajrasouliha, Amir R [VerfasserIn]

Links:

Volltext

Themen:

Branch retinal vein occlusion
Central retinal vein occlusion
Drug therapy
Ischaemia
Journal Article
Ranibizumab
Retinal oximetry
Retinal oxygen saturation
Retinal vein occlusion
Review
ZL1R02VT79

Anmerkungen:

Date Completed 11.08.2022

Date Revised 05.10.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/aos.15066

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM333828798