Treatment of systemic hypertension is important for improvement of macular edema associated with retinal vein occlusion

Teruyo Kida, Seita Morishita, Keigo Kakurai, Hiroyuki Suzuki, Hidehiro Oku, Tsunehiko IkedaDepartment of Ophthalmology, Osaka Medical College, Osaka, JapanBackground: We report our findings in three cases of unilateral macular edema associated with retinal vein occlusion (RVO) that improved after s...

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Autores principales:	Kida T, Morishita S, Kakurai K, Suzuki H, Oku H, Ikeda T
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/9bfbba50f4f343c89818c7950002356c
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spelling	oai:doaj.org-article:9bfbba50f4f343c89818c7950002356c2021-12-02T00:28:13ZTreatment of systemic hypertension is important for improvement of macular edema associated with retinal vein occlusion1177-5483https://doaj.org/article/9bfbba50f4f343c89818c7950002356c2014-05-01T00:00:00Zhttp://www.dovepress.com/treatment-of-systemic-hypertension-is-important-for-improvement-of-mac-a16876https://doaj.org/toc/1177-5483 Teruyo Kida, Seita Morishita, Keigo Kakurai, Hiroyuki Suzuki, Hidehiro Oku, Tsunehiko IkedaDepartment of Ophthalmology, Osaka Medical College, Osaka, JapanBackground: We report our findings in three cases of unilateral macular edema associated with retinal vein occlusion (RVO) that improved after successful treatment of systemic hypertension alone.Methods: All three cases had systemic hypertension but no diabetes mellitus or other ocular diseases associated with macular edema. All patients were treated only with medication for systemic hypertension. Optical coherence tomography was performed to determine the foveal thickness before and after treatment.Results: Case one was a 72-year-old woman with a central RVO who had macular edema in her left eye and a visual acuity (VA) of 20/50. Her blood pressure (BP) was 169/96 mmHg. One month after the initiation of a calcium blocker to treat her systemic hypertension, her BP was decreased, macular edema was reduced, and her VA improved to 20/20. Case two was a 62-year-old woman with branch RVO. Her VA was 20/40 and her BP was 165/97 mmHg. Six weeks after initiation of medication to treat her systemic hypertension, her RVO-related macular edema had decreased and her VA improved to 20/20. Case three was a 71-year-old man with branch RVO. His VA was 20/50 and his BP was 165/87 mmHg. One month after initiation of treatment for systemic hypertension, his RVO-related macular edema had disappeared and his VA improved to 20/20. All three cases had nonischemic RVO by fluorescein angiography, and they did not develop ischemic changes for at least 1 year. Conclusion: The reduction of macular edema following a decrease in the systemic hypertension suggests that the edema was most likely caused by leakage of fluids from the blood vessels. We recommend that the blood pressure should be measured in all patients with macular edema before initiating intravitreal anti-VEGF therapy.Keywords: anti-VEGF therapy, early treatment, frequent injection, high costKida TMorishita SKakurai KSuzuki HOku HIkeda TDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2014, Iss default, Pp 955-958 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Kida T Morishita S Kakurai K Suzuki H Oku H Ikeda T Treatment of systemic hypertension is important for improvement of macular edema associated with retinal vein occlusion
description	Teruyo Kida, Seita Morishita, Keigo Kakurai, Hiroyuki Suzuki, Hidehiro Oku, Tsunehiko IkedaDepartment of Ophthalmology, Osaka Medical College, Osaka, JapanBackground: We report our findings in three cases of unilateral macular edema associated with retinal vein occlusion (RVO) that improved after successful treatment of systemic hypertension alone.Methods: All three cases had systemic hypertension but no diabetes mellitus or other ocular diseases associated with macular edema. All patients were treated only with medication for systemic hypertension. Optical coherence tomography was performed to determine the foveal thickness before and after treatment.Results: Case one was a 72-year-old woman with a central RVO who had macular edema in her left eye and a visual acuity (VA) of 20/50. Her blood pressure (BP) was 169/96 mmHg. One month after the initiation of a calcium blocker to treat her systemic hypertension, her BP was decreased, macular edema was reduced, and her VA improved to 20/20. Case two was a 62-year-old woman with branch RVO. Her VA was 20/40 and her BP was 165/97 mmHg. Six weeks after initiation of medication to treat her systemic hypertension, her RVO-related macular edema had decreased and her VA improved to 20/20. Case three was a 71-year-old man with branch RVO. His VA was 20/50 and his BP was 165/87 mmHg. One month after initiation of treatment for systemic hypertension, his RVO-related macular edema had disappeared and his VA improved to 20/20. All three cases had nonischemic RVO by fluorescein angiography, and they did not develop ischemic changes for at least 1 year. Conclusion: The reduction of macular edema following a decrease in the systemic hypertension suggests that the edema was most likely caused by leakage of fluids from the blood vessels. We recommend that the blood pressure should be measured in all patients with macular edema before initiating intravitreal anti-VEGF therapy.Keywords: anti-VEGF therapy, early treatment, frequent injection, high cost
format	article
author	Kida T Morishita S Kakurai K Suzuki H Oku H Ikeda T
author_facet	Kida T Morishita S Kakurai K Suzuki H Oku H Ikeda T
author_sort	Kida T
title	Treatment of systemic hypertension is important for improvement of macular edema associated with retinal vein occlusion
title_short	Treatment of systemic hypertension is important for improvement of macular edema associated with retinal vein occlusion
title_full	Treatment of systemic hypertension is important for improvement of macular edema associated with retinal vein occlusion
title_fullStr	Treatment of systemic hypertension is important for improvement of macular edema associated with retinal vein occlusion
title_full_unstemmed	Treatment of systemic hypertension is important for improvement of macular edema associated with retinal vein occlusion
title_sort	treatment of systemic hypertension is important for improvement of macular edema associated with retinal vein occlusion
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/9bfbba50f4f343c89818c7950002356c
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Treatment of systemic hypertension is important for improvement of macular edema associated with retinal vein occlusion

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