Subfoveal serous retinal detachment associated with extramacular branch retinal vein occlusion

Toru Ota, Akitaka Tsujikawa, Tomoaki Murakami, Ken Ogino, Yuki Muraoka, Kyoko Kumagai, Yumiko Akagi-Kurashige, Kazuaki Miyamoto, Nagahisa YoshimuraDepartment of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Kyoto, JapanPurpose: To study the pathophysiology of subfo...

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Autores principales:	Ota T, Tsujikawa A, Murakami T, Ogino K, Muraoka Y, Kumagai K, Akagi-Kurashige Y, Miyamoto K, Yoshimura N
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/7fde4f7dc9464eb7bd1989c5538494fa
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spelling	oai:doaj.org-article:7fde4f7dc9464eb7bd1989c5538494fa2021-12-02T09:09:08ZSubfoveal serous retinal detachment associated with extramacular branch retinal vein occlusion1177-54671177-5483https://doaj.org/article/7fde4f7dc9464eb7bd1989c5538494fa2013-01-01T00:00:00Zhttp://www.dovepress.com/subfoveal-serous-retinal-detachment-associated-with-extramacular-branc-a12088https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Toru Ota, Akitaka Tsujikawa, Tomoaki Murakami, Ken Ogino, Yuki Muraoka, Kyoko Kumagai, Yumiko Akagi-Kurashige, Kazuaki Miyamoto, Nagahisa YoshimuraDepartment of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Kyoto, JapanPurpose: To study the pathophysiology of subfoveal serous retinal detachment (SRD) observed in eyes with extramacular branch retinal vein occlusion (BRVO).Methods: We retrospectively reviewed the medical records of nine patients (nine eyes) with extramacular BRVO with macular complications that were examined using optical coherence tomography (OCT).Results: Extramacular BRVO was observed in the inferior area in three eyes, in the superior area in five eyes, and in the nasal area in one eye. Visual acuity was moderately disturbed (median, 0.6; range, 0.2&ndash;0.9, measured using the Landolt chart). One eye showed extensive SRD that was connected to the area affected by BRVO through the subretinal space. In eight of the eyes, focal SRD was observed beneath the fovea without subretinal connections to the area affected by BRVO. However, all these eyes showed marked retinal swelling in the outer retina, particularly in the outer plexiform layer. In two of the eyes, detailed OCT examinations showed a small break on the external surface of the retina connecting the swollen outer retina with the underlying SRD. All eyes showed hyperreflective foci in the outer retina, most frequently along the inner boundary of the outer plexiform layer and external limiting membrane.Conclusion: Extramacular BRVO is often accompanied by focal SRD beneath the fovea. Leakage from the retinal capillaries affected by BRVO travelled via the outer plexiform layer and caused SRD under the fovea.Keywords: branch retinal vein occlusion, extramacular, macular edema, optical coherence tomography, retinal detachmentOta TTsujikawa AMurakami TOgino KMuraoka YKumagai KAkagi-Kurashige YMiyamoto KYoshimura NDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2013, Iss default, Pp 237-241 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Ota T Tsujikawa A Murakami T Ogino K Muraoka Y Kumagai K Akagi-Kurashige Y Miyamoto K Yoshimura N Subfoveal serous retinal detachment associated with extramacular branch retinal vein occlusion
description	Toru Ota, Akitaka Tsujikawa, Tomoaki Murakami, Ken Ogino, Yuki Muraoka, Kyoko Kumagai, Yumiko Akagi-Kurashige, Kazuaki Miyamoto, Nagahisa YoshimuraDepartment of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Kyoto, JapanPurpose: To study the pathophysiology of subfoveal serous retinal detachment (SRD) observed in eyes with extramacular branch retinal vein occlusion (BRVO).Methods: We retrospectively reviewed the medical records of nine patients (nine eyes) with extramacular BRVO with macular complications that were examined using optical coherence tomography (OCT).Results: Extramacular BRVO was observed in the inferior area in three eyes, in the superior area in five eyes, and in the nasal area in one eye. Visual acuity was moderately disturbed (median, 0.6; range, 0.2&ndash;0.9, measured using the Landolt chart). One eye showed extensive SRD that was connected to the area affected by BRVO through the subretinal space. In eight of the eyes, focal SRD was observed beneath the fovea without subretinal connections to the area affected by BRVO. However, all these eyes showed marked retinal swelling in the outer retina, particularly in the outer plexiform layer. In two of the eyes, detailed OCT examinations showed a small break on the external surface of the retina connecting the swollen outer retina with the underlying SRD. All eyes showed hyperreflective foci in the outer retina, most frequently along the inner boundary of the outer plexiform layer and external limiting membrane.Conclusion: Extramacular BRVO is often accompanied by focal SRD beneath the fovea. Leakage from the retinal capillaries affected by BRVO travelled via the outer plexiform layer and caused SRD under the fovea.Keywords: branch retinal vein occlusion, extramacular, macular edema, optical coherence tomography, retinal detachment
format	article
author	Ota T Tsujikawa A Murakami T Ogino K Muraoka Y Kumagai K Akagi-Kurashige Y Miyamoto K Yoshimura N
author_facet	Ota T Tsujikawa A Murakami T Ogino K Muraoka Y Kumagai K Akagi-Kurashige Y Miyamoto K Yoshimura N
author_sort	Ota T
title	Subfoveal serous retinal detachment associated with extramacular branch retinal vein occlusion
title_short	Subfoveal serous retinal detachment associated with extramacular branch retinal vein occlusion
title_full	Subfoveal serous retinal detachment associated with extramacular branch retinal vein occlusion
title_fullStr	Subfoveal serous retinal detachment associated with extramacular branch retinal vein occlusion
title_full_unstemmed	Subfoveal serous retinal detachment associated with extramacular branch retinal vein occlusion
title_sort	subfoveal serous retinal detachment associated with extramacular branch retinal vein occlusion
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/7fde4f7dc9464eb7bd1989c5538494fa
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Subfoveal serous retinal detachment associated with extramacular branch retinal vein occlusion

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