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Erschienen in: Spektrum der Augenheilkunde 3/2014

01.06.2014 | original article

Risk factor analysis in patients with retinal artery occlusion with respect to transesophageal echocardiography

verfasst von: Dr. Christoph Leisser

Erschienen in: Spektrum der Augenheilkunde | Ausgabe 3/2014

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Summary

Purpose

Retinal artery occlusions (RAO) cause sudden vision deterioration and visual field defects. While Albrecht von Graefe was the first to describe RAO in 1859, Hollenhorst reported about yellow plaques in the retinal arteries in 1961. Embolism from cardiac valves or plaques of the carotid artery are a common reason for RAO. Transesophageal echocardiography (TEE) has the potential to diagnose thrombotic material at the cardiac valves or plaques of the aortic arch with more precision than transthoracic echocardiography (TTE). Furthermore associations of RAO with arteriosclerosis is discussed.

Methods

117 patients with RAO, that had undergone TEE, were included in our retrospective study.

Results

Around 4.3 % of patients had thrombotic material at the cardiac valves, 10 % persistent foramen ovale, 54.7 % insufficient cardiac valves and 18.8 % plaques in the aortic arch. A total of 88 % of patients had at least one arteriosclerotic risk factor, 68 % arterial hypertension, 59.8 % hypercholesterolemia and 23.1 % diabetes mellitus. Moreover, 36.8 % had antithrombotic therapy and 67.3 % plaques in the internal carotid artery.

Conclusion

Alltogether, 40.2 % of patients had higher risk for thromboembolic complications, diagnosed with TEE.
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Metadaten
Titel
Risk factor analysis in patients with retinal artery occlusion with respect to transesophageal echocardiography
verfasst von
Dr. Christoph Leisser
Publikationsdatum
01.06.2014
Verlag
Springer Vienna
Erschienen in
Spektrum der Augenheilkunde / Ausgabe 3/2014
Print ISSN: 0930-4282
Elektronische ISSN: 1613-7523
DOI
https://doi.org/10.1007/s00717-014-0218-5