Long-term real-world outcomes in retinal vein occlusions: How close are we to the trials? Article Swipe
Payal Shah
,
Mahesh Shanmugam
,
Ushma Bimal Vora
,
Surbhi Agrawal
,
Indrani Sirivella
,
Shwetha Suryakanth
,
Ramya Jayasingh
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.4103/ijo.ijo_1330_22
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.4103/ijo.ijo_1330_22
Purpose: To assess and analyze the visual outcomes of patients with retinal vein occlusions in a real-world setting with a long-term follow-up of more than 5 years. Methods: Retrospective analysis of 56 patients having retinal vein occlusions from a tertiary eye center, with a mean follow-up of 7 years was performed. Primary outcome measures were mean change in best-corrected visual acuity (BCVA) from baseline at 6 months, 1 year, 2 years, 3 years, and final visit (≥5 years), proportion of patients having BCVA better than 20/40 and worse than 20/200, and mean number of injections. Secondary outcome measures were change in central macular thickness (CMT), development of subsequent retinal vein occlusion (RVO) in same eye or the other eye, and development of neovascular complications. Results: The mean change in letter score was + 11.84 in branch RVO (BRVO), +7.14 in non-ischemic central RVO (CRVO), and −9.5 in ischemic CRVO at 1 year, which changed to + 8.57, −5 and − 24, respectively, at the end of follow-up. CMT had improved from 506 ± 98.8 mm, 576.44 ± 149 mm, and 618 ± 178.27 mm, respectively, at baseline to 267 ± 94 mm, 345.20 ± 122.61 mm, and 265.50 ± 107.75 mm, respectively, in BRVO, non-ischemic, and ischemic hemi RVO (HRVO)/CRVO groups. The total mean number of injections given in BRVO, non-ischemic CRVO, and ischemic CRVO groups were 4.6, 6.6, and 4.1, respectively. None of the patients with BRVO developed neovascular glaucoma (NVG). Non-ischemic to ischemic HRVO/CRVO conversion was noted in 4/11 eyes at a mean duration of 12.6 months. NVG was noted in 7/9 eyes (77.8%) in initial ischemic CRVO/HRVO group and 3/4 (75%) converted eyes. Conclusion: Patients with BRVO have good visual outcomes with anti-VEGF, while in CRVO results may vary considerably owing to patient compliance and treatment burden on long-term follow-up in a real-world setting.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.4103/ijo.ijo_1330_22
- OA Status
- diamond
- Cited By
- 6
- References
- 32
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4310598611
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4310598611Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.4103/ijo.ijo_1330_22Digital Object Identifier
- Title
-
Long-term real-world outcomes in retinal vein occlusions: How close are we to the trials?Work title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2022Year of publication
- Publication date
-
2022-11-30Full publication date if available
- Authors
-
Payal Shah, Mahesh Shanmugam, Ushma Bimal Vora, Surbhi Agrawal, Indrani Sirivella, Shwetha Suryakanth, Ramya JayasinghList of authors in order
- Landing page
-
https://doi.org/10.4103/ijo.ijo_1330_22Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
-
diamondOpen access status per OpenAlex
- OA URL
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https://doi.org/10.4103/ijo.ijo_1330_22Direct OA link when available
- Concepts
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Medicine, Term (time), Retinal Vein, Optometry, Ophthalmology, Retinal, Physical medicine and rehabilitation, Quantum mechanics, PhysicsTop concepts (fields/topics) attached by OpenAlex
- Cited by
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6Total citation count in OpenAlex
- Citations by year (recent)
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2025: 2, 2024: 3, 2023: 1Per-year citation counts (last 5 years)
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32Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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