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Curr Eye Res. 2013 Jan;38(1):114-8. doi: 10.3109/02713683.2012.738460. Epub 2012 Nov 20.

Impaired systemic vascular endothelial function in patients with branch retinal vein occlusion.

Author information

1
Department of Ophthalmology, Asahikawa Medical University, Asahikawa, Japan.

Abstract

PURPOSE:

To evaluate systemic endothelial function in patients with branch retinal vein occlusion (BRVO).

METHODS:

Twenty-seven patients with BRVO (BRVO group, 8 men, 19 women; mean age, 65.4 ± 1.3), 10 patients with systemic hypertension and no other systemic or ocular disease (hypertension group, 6 men, 4 women; mean age, 70.4 ± 2.2), and 10 healthy volunteers (healthy group, 3 men, 7 women; mean age, 63.8 ± 2.1) were enrolled. We excluded patients with diabetes mellitus and current smokers. Using high-resolution ultrasonographic imaging, we evaluated the brachial artery (mm) to evaluate the flow-mediated vasodilation (FMD) by measuring the diameter of the brachial artery during reperfusion after arterial occlusion.

RESULTS:

There were no significant differences among the three groups in age (p = 0.98), sex (p = 0.21), or the baseline diameter of the brachial artery (p = 0.11). The group-averaged FMD value decreased significantly in the BRVO group (4.6 ± 0.4%) compared to the hypertension group (8.0 ± 0.8%, p < 0.01) and the healthy group (6.9 ± 0.6%, p < 0.05). Multiple logistic regression analysis identified lower FMD as an independent risk factor for BRVO.

CONCLUSIONS:

The results suggested that BRVO is associated with generalized endothelial dysfunction and that impaired systemic endothelial function may be associated with BRVO.

PMID:
23167764
DOI:
10.3109/02713683.2012.738460
[Indexed for MEDLINE]

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