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CENTRAL RETINAL VEIN OCCLUSION IN YOUNG PATIENTS Clinical Characteristics and Prognostic Factors

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Abstract
Purpose: To investigate the clinical characteristics and prognostic factors of young patients with central retinal vein occlusion (CRVO). Methods: This retrospective cohort study involved treatment-naive patients with CRVO. Medical records regarding basic demographics, predisposing factors, ocular characteristics, and treatments were reviewed and compared according to age at CRVO onset. Results: We enrolled 263 patients, of whom 69 were younger patients. Younger patients had higher prevalence of nontraditional risk factors including physical or psychological stress (P = 0.032), hematologic abnormalities (P = 0.003), and better visual acuity at baseline and last visit (all P < 0.001) and were unlikely to undergo intravitreal injections (47.8 vs. 68.6%, P < 0.001) during follow-up. Younger patients had higher prevalence of paracentral acute middle maculopathy (28.1 vs. 4.7%, P < 0.001). Older age (odds ratio = 1.165, P = 0.028), male sex (odds ratio = 7.074, P = 0.034), coexisting renal disease (odds ratio = 7.845, P = 0.050), and poor baseline visual acuity (odds ratio = 16.069, P = 0.002) were significant risk factors for poor visual outcomes in young CRVO patients. Conclusion: Younger CRVO patients had a milder clinical course with fewer treatments and were more likely to have nontraditional risk factors than older patients.
Author(s)
김유나김윤전김중곤박유정어규상윤영희이주용
Issued Date
2021
Type
Article
Keyword
Medical collegesMedical recordsPrognosisRetinal diseasesRisk factorsStress (Psychology)
DOI
10.1097/IAE.0000000000002872
URI
https://oak.ulsan.ac.kr/handle/2021.oak/7666
https://ulsan-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_cdi_proquest_miscellaneous_2419405576&amp;context=PC&amp;vid=ULSAN&amp;lang=ko_KR&amp;search_scope=default_scope&amp;adaptor=primo_central_multiple_fe&amp;tab=default_tab&amp;query=any,contains,CENTRAL%20RETINAL%20VEIN%20OCCLUSION%20IN%20YOUNG%20PATIENTS%20Clinical%20Characteristics%20and%20Prognostic%20Factors&amp;offset=0&amp;pcAvailability=true
Publisher
RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES
Location
미국
Language
한국어
ISSN
0275-004X
Citation Volume
41
Citation Number
3
Citation Start Page
630
Citation End Page
637
Appears in Collections:
Medicine > Medicine
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