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Abstract #13874 Published in IGR 8-2
Ten-year incidence of retinal vein occlusion in an older population: the Blue Mountains Eye Study
Cugati S; Wang JJ; Rochtchina E; Mitchell PArchives of Ophthalmology 2006; 124: 726-732
OBJECTIVE: To assess the ten-year incidence of retinal vein occlusion (RVO) and its predictors in an older population. METHODS: The Blue Mountains Eye Study examined 3654 residents aged 49 years and older (82.4% response) from 1992 to 1994, re-examined 2335 residents (75.1% of survivors) from 1997 to 1999, and reexamined 1952 residents (75.6% of survivors) from 2002 to 2004. Incident RVO was assessed from stereoscopic retinal photographs. Kaplan-Meier cumulative ten-year incidence was calculated. RESULTS: After excluding 47 residents with RVO at baseline and 171 residents with no photographs at either follow-up examination, 2346 residents were considered at risk of developing RVO. The cumulative ten-year incidence of RVO was 1.6%. Age was significantly associated with the incidence of RVO (P = .03, Mantel-Haenszel chi2 test for trend). Factors predicting the incidence of RVO included mean arterial blood pressure (age-adjusted odds ratio [OR], 1.41 per 10-mmHg increase), ocular perfusion pressure (OR, 1.71 per 10-mmHg increase), obesity (OR, 2.16), and presence of retinal arteriolar wall signs (focal narrowing: OR, 3.37; arteriovenous nicking: OR, 4.09; and opacification: OR, 4.89). CONCLUSIONS: Older age (≥ 70 years), increasing mean arterial blood pressure, and atherosclerotic retinal vessel signs were significant predictors of incident RVO.
Dr. S. Cugati, Centre for Vision Research, Department of Ophthalmology, University of Sydney, Westmead Hospital, Hawkesbury Road, Westmead, NSW 2145, Australia
Classification:
10 Differential diagnosis e.g. anterior and posterior ischemic optic neuropathy
