Systemic abnormalities associated with retinal vein occlusion in young patients

Suthasinee Sinawat,1 Chavisa Bunyavee,2 Tanapat Ratanapakorn,1 Supat Sinawat,3 Wipada Laovirojjanakul,1 Yosanan Yospaiboon1 1KKU Eye Center, Department of Ophthalmology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand; 2Department of Ophthalmology, Faculty of Medicine, Nawamindaradhi...

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Autores principales:	Sinawat S, Bunyavee C, Ratanapakorn T, Laovirojjanakul W, Yospaiboon Y
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	retinal vein occlusion systemic diseases young patients Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/cfe40068452a419ab0fd9086917907e9
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spelling	oai:doaj.org-article:cfe40068452a419ab0fd9086917907e92021-12-02T04:16:01ZSystemic abnormalities associated with retinal vein occlusion in young patients1177-5483https://doaj.org/article/cfe40068452a419ab0fd9086917907e92017-02-01T00:00:00Zhttps://www.dovepress.com/systemic-abnormalities-associated-with-retinal-vein-occlusion-in-young-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Suthasinee Sinawat,1 Chavisa Bunyavee,2 Tanapat Ratanapakorn,1 Supat Sinawat,3 Wipada Laovirojjanakul,1 Yosanan Yospaiboon1 1KKU Eye Center, Department of Ophthalmology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand; 2Department of Ophthalmology, Faculty of Medicine, Nawamindaradhiraj University, Bangkok, Thailand; 3Department of Physiology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand Objectives: To study the systemic abnormalities associated with retinal vein occlusion in patients aged ≤50 years with a particular emphasis on atherosclerotic diseases and thrombophilic disorders. Methods: Medical charts of patients, aged ≤50 years whose diagnoses were retinal vein occlusions during the period 1995–2015 were retrospectively reviewed. The primary outcome was the number of systemic abnormalities associated with these patients. Secondary outcomes included types of retinal vein occlusion and sites of occlusion. Results: Atherosclerotic diseases were the most common systemic abnormalities associated with retinal vein occlusion and accounted for 55.1% of the patients in the study. Hypertension in 27.55%, diabetes mellitus in 16.33%, and 5.1% with dyslipidemia were noted. The number of thrombophilic disorders seemed to be less than expected and were noted in only 5.1%. Other systemic abnormalities included viral hepatitis infection, systemic lupus erythematosus, and acquired immunodeficiency syndrome. Oral contraceptives were used by some patients. Conclusion: Atherosclerotic diseases remained the most commonly associated systemic diseases in the majority of these patients. Approach to these patients should include a screening for hypertension, diabetes mellitus, and lipid abnormalities. Thrombophilia should also be considered where no obvious atherosclerotic diseases are found or if the patient is <40 years old, a history of thrombosis or a family history of thrombosis is possible. Keywords: retinal vein occlusion, systemic diseases, young patients Sinawat SBunyavee CRatanapakorn TSinawat SLaovirojjanakul WYospaiboon YDove Medical Pressarticleretinal vein occlusionsystemic diseasesyoung patientsOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 11, Pp 441-447 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	retinal vein occlusion systemic diseases young patients Ophthalmology RE1-994
spellingShingle	retinal vein occlusion systemic diseases young patients Ophthalmology RE1-994 Sinawat S Bunyavee C Ratanapakorn T Sinawat S Laovirojjanakul W Yospaiboon Y Systemic abnormalities associated with retinal vein occlusion in young patients
description	Suthasinee Sinawat,1 Chavisa Bunyavee,2 Tanapat Ratanapakorn,1 Supat Sinawat,3 Wipada Laovirojjanakul,1 Yosanan Yospaiboon1 1KKU Eye Center, Department of Ophthalmology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand; 2Department of Ophthalmology, Faculty of Medicine, Nawamindaradhiraj University, Bangkok, Thailand; 3Department of Physiology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand Objectives: To study the systemic abnormalities associated with retinal vein occlusion in patients aged ≤50 years with a particular emphasis on atherosclerotic diseases and thrombophilic disorders. Methods: Medical charts of patients, aged ≤50 years whose diagnoses were retinal vein occlusions during the period 1995–2015 were retrospectively reviewed. The primary outcome was the number of systemic abnormalities associated with these patients. Secondary outcomes included types of retinal vein occlusion and sites of occlusion. Results: Atherosclerotic diseases were the most common systemic abnormalities associated with retinal vein occlusion and accounted for 55.1% of the patients in the study. Hypertension in 27.55%, diabetes mellitus in 16.33%, and 5.1% with dyslipidemia were noted. The number of thrombophilic disorders seemed to be less than expected and were noted in only 5.1%. Other systemic abnormalities included viral hepatitis infection, systemic lupus erythematosus, and acquired immunodeficiency syndrome. Oral contraceptives were used by some patients. Conclusion: Atherosclerotic diseases remained the most commonly associated systemic diseases in the majority of these patients. Approach to these patients should include a screening for hypertension, diabetes mellitus, and lipid abnormalities. Thrombophilia should also be considered where no obvious atherosclerotic diseases are found or if the patient is <40 years old, a history of thrombosis or a family history of thrombosis is possible. Keywords: retinal vein occlusion, systemic diseases, young patients
format	article
author	Sinawat S Bunyavee C Ratanapakorn T Sinawat S Laovirojjanakul W Yospaiboon Y
author_facet	Sinawat S Bunyavee C Ratanapakorn T Sinawat S Laovirojjanakul W Yospaiboon Y
author_sort	Sinawat S
title	Systemic abnormalities associated with retinal vein occlusion in young patients
title_short	Systemic abnormalities associated with retinal vein occlusion in young patients
title_full	Systemic abnormalities associated with retinal vein occlusion in young patients
title_fullStr	Systemic abnormalities associated with retinal vein occlusion in young patients
title_full_unstemmed	Systemic abnormalities associated with retinal vein occlusion in young patients
title_sort	systemic abnormalities associated with retinal vein occlusion in young patients
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/cfe40068452a419ab0fd9086917907e9
work_keys_str_mv	AT sinawats systemicabnormalitiesassociatedwithretinalveinocclusioninyoungpatients AT bunyaveec systemicabnormalitiesassociatedwithretinalveinocclusioninyoungpatients AT ratanapakornt systemicabnormalitiesassociatedwithretinalveinocclusioninyoungpatients AT sinawats systemicabnormalitiesassociatedwithretinalveinocclusioninyoungpatients AT laovirojjanakulw systemicabnormalitiesassociatedwithretinalveinocclusioninyoungpatients AT yospaiboony systemicabnormalitiesassociatedwithretinalveinocclusioninyoungpatients
_version_	1718401398330097664

Systemic abnormalities associated with retinal vein occlusion in young patients

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