Skip to main content
Top
Published in: Graefe's Archive for Clinical and Experimental Ophthalmology 7/2016

01-07-2016 | Retinal Disorders

Recurrence of macular edema in eyes with branch retinal vein occlusion changes the diameter of unaffected retinal vessels

Authors: Jong Chan Im, Jae Pil Shin, In Taek Kim, Dong Ho Park

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 7/2016

Login to get access

Abstract

Purpose

To measure unaffected retinal vessel diameter in eyes with macular edema (ME) secondary to branch retinal vein occlusion (BRVO) after intravitreal injection with bevacizumab (IVB).

Methods

Patients with BRVO-induced ME who responded to IVB were assessed at baseline and 1, 3, and 6 months. In both eyes, the diameters of the largest arteriole and venule in all quadrants (except occlusion quadrant) were measured by using a computer-assisted method. The same vessels chosen at baseline were measured at each follow-up examination.

Results

Forty-two eyes were participated. At baseline, venular diameters of unaffected quadrants in eyes with BRVO were larger than the venules in the corresponding quadrant of the fellow eyes (p < 0.05, respectively). The venular diameters in all quadrants of the affected eyes decreased significantly relative to baseline after IVB (p < 0.05 respectively). Twenty-two eyes (52.4 %) developed recurrent ME. On recurrence at 3 (n = 15, 35.7 %) or 6 months (n = 7, 16.7 %), the unaffected venular diameters increased significantly (p < 0.05 respectively). These diameters again decreased significantly after a second IVB (p < 0.05 respectively).

Conclusion

Unaffected retinal venular diameters associate with the course of BRVO with ME. This may help elucidate the pathological mechanism underlying BRVO.
Literature
2.
go back to reference Hayreh SS (2005) Prevalent misconceptions about acute retinal vascular occlusive disorders. Prog Retin Eye Res 24:493–519CrossRefPubMed Hayreh SS (2005) Prevalent misconceptions about acute retinal vascular occlusive disorders. Prog Retin Eye Res 24:493–519CrossRefPubMed
3.
go back to reference Rogers S, McIntosh RL, Cheung N, Lim L, Wang JJ, Mitchell P, Kowalski JW, Nguyen H, Wong TY, International Eye Disease C (2010) The prevalence of retinal vein occlusion: pooled data from population studies from the United States, Europe, Asia, and Australia. Ophthalmology 117:313–319CrossRefPubMedPubMedCentral Rogers S, McIntosh RL, Cheung N, Lim L, Wang JJ, Mitchell P, Kowalski JW, Nguyen H, Wong TY, International Eye Disease C (2010) The prevalence of retinal vein occlusion: pooled data from population studies from the United States, Europe, Asia, and Australia. Ophthalmology 117:313–319CrossRefPubMedPubMedCentral
4.
go back to reference Lim LL, Cheung N, Wang JJ, Islam FM, Mitchell P, Saw SM, Aung T, Wong TY (2008) Prevalence and risk factors of retinal vein occlusion in an Asian population. Br J Ophthalmol 92:1316–1319CrossRefPubMed Lim LL, Cheung N, Wang JJ, Islam FM, Mitchell P, Saw SM, Aung T, Wong TY (2008) Prevalence and risk factors of retinal vein occlusion in an Asian population. Br J Ophthalmol 92:1316–1319CrossRefPubMed
5.
go back to reference Jaulim A, Ahmed B, Khanam T, Chatziralli IP (2013) Branch retinal vein occlusion: epidemiology, pathogenesis, risk factors, clinical features, diagnosis, and complications. An update of the literature. Retina 33:901–910CrossRefPubMed Jaulim A, Ahmed B, Khanam T, Chatziralli IP (2013) Branch retinal vein occlusion: epidemiology, pathogenesis, risk factors, clinical features, diagnosis, and complications. An update of the literature. Retina 33:901–910CrossRefPubMed
6.
go back to reference Staurenghi G, Lonati C, Aschero M, Orzalesi N (1994) Arteriovenous crossing as a risk factor in branch retinal vein occlusion. Am J Ophthalmol 117:211–213CrossRefPubMed Staurenghi G, Lonati C, Aschero M, Orzalesi N (1994) Arteriovenous crossing as a risk factor in branch retinal vein occlusion. Am J Ophthalmol 117:211–213CrossRefPubMed
7.
8.
go back to reference Kaneda S, Miyazaki D, Sasaki S, Yakura K, Terasaka Y, Miyake K, Ikeda Y, Funakoshi T, Baba T, Yamasaki A, Inoue Y (2011) Multivariate analyses of inflammatory cytokines in eyes with branch retinal vein occlusion: relationships to bevacizumab treatment. Invest Ophthalmol Vis Sci 52:2982–2988CrossRefPubMed Kaneda S, Miyazaki D, Sasaki S, Yakura K, Terasaka Y, Miyake K, Ikeda Y, Funakoshi T, Baba T, Yamasaki A, Inoue Y (2011) Multivariate analyses of inflammatory cytokines in eyes with branch retinal vein occlusion: relationships to bevacizumab treatment. Invest Ophthalmol Vis Sci 52:2982–2988CrossRefPubMed
9.
go back to reference Campochiaro PA, Heier JS, Feiner L, Gray S, Saroj N, Rundle AC, Murahashi WY, Rubio RG, Investigators B (2010) Ranibizumab for macular edema following branch retinal vein occlusion: six-month primary end point results of a phase III study. Ophthalmology 117:1102–1112CrossRefPubMed Campochiaro PA, Heier JS, Feiner L, Gray S, Saroj N, Rundle AC, Murahashi WY, Rubio RG, Investigators B (2010) Ranibizumab for macular edema following branch retinal vein occlusion: six-month primary end point results of a phase III study. Ophthalmology 117:1102–1112CrossRefPubMed
10.
go back to reference Paques M, Krivosic V, Girmens JF, Giraud C, Sahel J, Gaudric A (2005) Decreased venous tortuosity associated with resolution of macular edema after intravitreal injection of triamcinolone. Retina 25:1099–1101CrossRefPubMed Paques M, Krivosic V, Girmens JF, Giraud C, Sahel J, Gaudric A (2005) Decreased venous tortuosity associated with resolution of macular edema after intravitreal injection of triamcinolone. Retina 25:1099–1101CrossRefPubMed
11.
go back to reference Sacu S, Pemp B, Weigert G, Matt G, Garhofer G, Pruente C, Schmetterer L, Schmidt-Erfurth U (2011) Response of retinal vessels and retrobulbar hemodynamics to intravitreal anti-VEGF treatment in eyes with branch retinal vein occlusion. Invest Ophthalmol Vis Sci 52:3046–3050CrossRefPubMed Sacu S, Pemp B, Weigert G, Matt G, Garhofer G, Pruente C, Schmetterer L, Schmidt-Erfurth U (2011) Response of retinal vessels and retrobulbar hemodynamics to intravitreal anti-VEGF treatment in eyes with branch retinal vein occlusion. Invest Ophthalmol Vis Sci 52:3046–3050CrossRefPubMed
12.
go back to reference Schoenborn CA, Adams PE (2010) Health behaviors of adults: United States, 2005–2007. Vital Health Stat 10:1–132 Schoenborn CA, Adams PE (2010) Health behaviors of adults: United States, 2005–2007. Vital Health Stat 10:1–132
13.
go back to reference Diabetic retinopathy study. Report Number 6. Design, methods, and baseline results. Report Number 7. A modification of the Airlie House classification of diabetic retinopathy. Prepared by the Diabetic Retinopathy (1981). Invest Ophthalmol Vis Sci 21:1–226 Diabetic retinopathy study. Report Number 6. Design, methods, and baseline results. Report Number 7. A modification of the Airlie House classification of diabetic retinopathy. Prepared by the Diabetic Retinopathy (1981). Invest Ophthalmol Vis Sci 21:1–226
14.
go back to reference Pe’er J, Folberg R, Itin A, Gnessin H, Hemo I, Keshet E (1998) Vascular endothelial growth factor upregulation in human central retinal vein occlusion. Ophthalmology 105:412–416CrossRefPubMed Pe’er J, Folberg R, Itin A, Gnessin H, Hemo I, Keshet E (1998) Vascular endothelial growth factor upregulation in human central retinal vein occlusion. Ophthalmology 105:412–416CrossRefPubMed
15.
go back to reference Tilton RG, Chang KC, LeJeune WS, Stephan CC, Brock TA, Williamson JR (1999) Role for nitric oxide in the hyperpermeability and hemodynamic changes induced by intravenous VEGF. Invest Ophthalmol Vis Sci 40:689–696PubMed Tilton RG, Chang KC, LeJeune WS, Stephan CC, Brock TA, Williamson JR (1999) Role for nitric oxide in the hyperpermeability and hemodynamic changes induced by intravenous VEGF. Invest Ophthalmol Vis Sci 40:689–696PubMed
16.
go back to reference Wu HM, Huang Q, Yuan Y, Granger HJ (1996) VEGF induces NO-dependent hyperpermeability in coronary venules. Am J Physiol 271:H2735–2739PubMed Wu HM, Huang Q, Yuan Y, Granger HJ (1996) VEGF induces NO-dependent hyperpermeability in coronary venules. Am J Physiol 271:H2735–2739PubMed
17.
go back to reference Hood JD, Meininger CJ, Ziche M, Granger HJ (1998) VEGF upregulates ecNOS message, protein, and NO production in human endothelial cells. Am J Physiol 274:H1054–1058PubMed Hood JD, Meininger CJ, Ziche M, Granger HJ (1998) VEGF upregulates ecNOS message, protein, and NO production in human endothelial cells. Am J Physiol 274:H1054–1058PubMed
18.
go back to reference Stefansson E, Pedersen DB, Jensen PK, la Cour M, Kiilgaard JF, Bang K, Eysteinsson T (2005) Optic nerve oxygenation. Prog Retin Eye Res 24:307–332CrossRefPubMed Stefansson E, Pedersen DB, Jensen PK, la Cour M, Kiilgaard JF, Bang K, Eysteinsson T (2005) Optic nerve oxygenation. Prog Retin Eye Res 24:307–332CrossRefPubMed
19.
go back to reference Michelson G, Warntges S, Baleanu D, Welzenbach J, Ohno-Jinno A, Pogorelov P, Harazny J (2007) Morphometric age-related evaluation of small retinal vessels by scanning laser Doppler flowmetry: determination of a vessel wall index. Retina 27:490–498CrossRefPubMed Michelson G, Warntges S, Baleanu D, Welzenbach J, Ohno-Jinno A, Pogorelov P, Harazny J (2007) Morphometric age-related evaluation of small retinal vessels by scanning laser Doppler flowmetry: determination of a vessel wall index. Retina 27:490–498CrossRefPubMed
20.
go back to reference Krohne TU, Eter N, Holz FG, Meyer CH (2008) Intraocular pharmacokinetics of bevacizumab after a single intravitreal injection in humans. Am J Ophthalmol 146:508–512CrossRefPubMed Krohne TU, Eter N, Holz FG, Meyer CH (2008) Intraocular pharmacokinetics of bevacizumab after a single intravitreal injection in humans. Am J Ophthalmol 146:508–512CrossRefPubMed
21.
go back to reference Wu L, Arevalo JF, Roca JA, Maia M, Berrocal MH, Rodriguez FJ, Evans T, Costa RA, Cardillo J, Pan-American Collaborative Retina Study G (2008) Comparison of two doses of intravitreal bevacizumab (Avastin) for treatment of macular edema secondary to branch retinal vein occlusion: results from the Pan-American Collaborative Retina Study Group at 6 months of follow-up. Retina 28:212–219CrossRefPubMed Wu L, Arevalo JF, Roca JA, Maia M, Berrocal MH, Rodriguez FJ, Evans T, Costa RA, Cardillo J, Pan-American Collaborative Retina Study G (2008) Comparison of two doses of intravitreal bevacizumab (Avastin) for treatment of macular edema secondary to branch retinal vein occlusion: results from the Pan-American Collaborative Retina Study Group at 6 months of follow-up. Retina 28:212–219CrossRefPubMed
22.
go back to reference Badala F (2008) The treatment of branch retinal vein occlusion with bevacizumab. Curr Opin Ophthalmol 19:234–238CrossRefPubMed Badala F (2008) The treatment of branch retinal vein occlusion with bevacizumab. Curr Opin Ophthalmol 19:234–238CrossRefPubMed
23.
go back to reference Nguyen TT, Wang JJ, Sharrett AR, Islam FM, Klein R, Klein BE, Cotch MF, Wong TY (2008) Relationship of retinal vascular caliber with diabetes and retinopathy: the Multi-Ethnic Study of Atherosclerosis (MESA). Diabetes Care 31:544–549CrossRefPubMed Nguyen TT, Wang JJ, Sharrett AR, Islam FM, Klein R, Klein BE, Cotch MF, Wong TY (2008) Relationship of retinal vascular caliber with diabetes and retinopathy: the Multi-Ethnic Study of Atherosclerosis (MESA). Diabetes Care 31:544–549CrossRefPubMed
24.
go back to reference Wong TY, Klein R, Sharrett AR, Duncan BB, Couper DJ, Tielsch JM, Klein BE, Hubbard LD (2002) Retinal arteriolar narrowing and risk of coronary heart disease in men and women. The Atherosclerosis Risk in Communities Study. JAMA 287:1153–1159PubMed Wong TY, Klein R, Sharrett AR, Duncan BB, Couper DJ, Tielsch JM, Klein BE, Hubbard LD (2002) Retinal arteriolar narrowing and risk of coronary heart disease in men and women. The Atherosclerosis Risk in Communities Study. JAMA 287:1153–1159PubMed
Metadata
Title
Recurrence of macular edema in eyes with branch retinal vein occlusion changes the diameter of unaffected retinal vessels
Authors
Jong Chan Im
Jae Pil Shin
In Taek Kim
Dong Ho Park
Publication date
01-07-2016
Publisher
Springer Berlin Heidelberg
Published in
Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 7/2016
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI
https://doi.org/10.1007/s00417-015-3175-z

Other articles of this Issue 7/2016

Graefe's Archive for Clinical and Experimental Ophthalmology 7/2016 Go to the issue