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Br J Ophthalmol 84:609-613 doi:10.1136/bjo.84.6.609
  • Original Article
    • Clinical science

Treatment of recent onset central retinal vein occlusion with intravitreal tissue plasminogen activator: a pilot study

Table 1

Clinical course of CRVO after intravitreal TPA injection, classified from the shorter to the longer duration of symptoms before treatment

Case no Age (years) Sex Associated medical conditions CRVO duration before TPA injection (days) Dose of TPA Initial visual acuity Initial form of CRVO Visual outcome
1 64 M Hypertension, smoking, activated protein C resistance, CRVO in the second eye 1 75 μg 20/70 non-ischaemic CRVO 20/20, non-ischaemic CRVO
2 60 F Hypercholesterolaemia, glaucoma, HRT 2 100 μg 20/40 non-ischaemic CRVO CF, ischaemic CRVO, PRP
3 70 M Hyperlipidaemia 4 75 μg 20/30 peripheral ischaemic area of 30 DD 20/200, CME, unchanged ischaemic area
4 69 F None 5 100 μg 20/400 non-ischaemic CRVO with cilioretinal AO CF, ischaemic CRVO, PRP, preretinal neovascularisation
5 58 M Glaucoma 5 100 μg 20/200 non-ischaemic CRVO with cilioretinal AO 20/125, non-ischaemic CRVO, CME
6 57 M Diabetes, stopped smoking 5 75 μg 20/40 non-ischaemic CRVO 20/400, ischaemic CRVO, PRP
7 53 M Myocardial infarction, hyperlipidaemia, stopped smoking 5 75 μg 20/30 non-ischaemic CRVO 20/70, non-ischaemic CRVO, CME
8 74 M Stopped smoking 5 100 μg 20/70 non-ischaemic CRVO
9 37 F Smoking 6 75 μg 20/40 non-ischaemic CRVO 20/15, non-ischaemic CRVO
10 72 F Hypertension, overweight, hypercholesterolaemia, 8 75 μg 20/40 non-ischaemic CRVO 20/25, non-ischaemic CRVO
11 72 F Hypertension, overweight 8 100 μg CF ischaemic CRVO CF, ischaemic CRVO, PRP
12 49 M Hyperlipidaemia, overweight, stopped smoking 14 75 μg 20/50 peripheral ischaemic area of 30 DD 20/40, unchanged ischaemic area, CME
13 61 M Hypertension, myocardial infarction, stopped smoking 15 75 μg 20/160 non-ischaemic CRVO 20/25, non-ischaemic CRVO
14 67 M Hypertension, glaucoma, myocardial infarction 21 75 μg 20/400 peripheral ischaemic area of 20 DD CF, ischaemic CRVO, rubeosis iridis, PRP
15 60 M hypertension, hyperlipidaemia, angina pectoris, stopped smoking 21 75 μg 20/50 non-ischaemic CRVO 20/20; non-ischaemic CRVO
  • PRP = panretinal photocoagulation; HRT = hormone replacement therapy for postmenopausal woman; DD = disc diameters; CMO = cystoid macular oedema; AO = artery occlusion; CF = counting fingers.

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