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Doctor insights on: Alternative Treatments For Central Retinal Vein Occlusion

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Dr. Breno Da rocha lima Dr. Da rocha lima
Ophthalmology
years in practice
1

1
Please help! What is the incidence of bilateral central retinal vein occlusion?

Please help! What is the incidence of bilateral central retinal vein occlusion?

Not common: Bilateral CRVO is not common. Bilateral CRVO has been associated with hyperviscosity syndromes such as primary and secondary polycythemia, leukemia/lymphoma, multiple myeloma, and other rare conditions. Other risk factors include oral contraceptive use, diuretics, hypercoagulable states, and vasculitis.

Obstruction (Definition)

Anything that creates a blockage of the intestinal tract. You may think of the intestinal tract (stomach, small bowel, large bowel) as somewhat akin to a garden hose. If you kink the garden hose, or twist it, or block it inside, you have created an "obstruction". Most obstructions are a results of previous surgery and most of these ...Read more


Dr. Jon Fishburn Dr. Fishburn
Ophthalmology
26 years in practice
University of Nevada School of Medicine
2

2
Is Anti-VEGF effective for treating Central Retinal Vein Occlusion?

Is Anti-VEGF effective for treating Central Retinal Vein Occlusion?

Anti-VEGF: Yes, anti-VEGF treatment is effective for CRVO. Many clinical trials have led to this conclusion. Outcomes vary and depend on type of CRVO (ischemic vs no ischemic) and starting visual acuity and other co-morbidities.

Dr. Richard Scartozzi Dr. Scartozzi
Ophthalmology - Retinal Surgery
15 years in practice
Johns Hopkins University School of Medicine
3
Dr. Johnstone Kim Dr. Kim
Ophthalmology - Retinal Surgery
10 years in practice
Tulane University School of Medicine
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4
Is there any more significant risk of doing cataract surgery on an eye that had a central retinal vein occlusion about a year ago vs a normal eye.

Is there any more significant risk of doing cataract surgery on an eye that had a central retinal vein occlusion about a year ago vs a normal eye.

Yes: There are some schools of thought that believe that microvascular disease such as vein occlusions and diabetes have an increased risk of getting neovascular glaucoma. Also, cystoid macular edema can happen in these subgroup of patients.

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Dr. Richard Scartozzi Dr. Scartozzi
Ophthalmology - Retinal Surgery
15 years in practice
Johns Hopkins University School of Medicine
5

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Does avastin (bevacizumab) for hemi retinal vein occlusion work well?

Does avastin (bevacizumab) for hemi retinal vein occlusion work well?

Yes: It work well for retinal edema of the macula caused by retinal vein occlusions (central, hemi, and branch). Speak to your retinal specialist about this.

Dr. Keshav Narain Dr. Narain
Ophthalmology - Retinal Surgery
25 years in practice
George Washington University Medical School
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Can you give me more info on a branch retinal vein occlusion?

Can you give me more info on a branch retinal vein occlusion?

BRVO or BVO: A type of blockage resulting from vascular disease (atherosclerosis, clot formation etc.) involving the veins of the retina. Mild to severe visual loss. Most frequent with hypertension, diabetes, clotting disorders. Swelling of the retina blurs vision. Prompt treatment and management of medical problems is critical. Many new treatments have improved prognosis.

Dr. Benjamin Chun Dr. Chun
Ophthalmology
24 years in practice
Dartmouth Medical School
7

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Is a branch retinal vein occlusion could be a sign of MS?

Is a branch retinal vein occlusion could be a sign of MS?

Don't think so: Optic neuritis is typically associated with ms. Brvo is associated with hypertension, or certain blood clotting disorders, depending on your age.

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Dr. Keshav Narain Dr. Narain
Ophthalmology - Retinal Surgery
25 years in practice
George Washington University Medical School
8

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Treatment options for retinal vein occlusion?

Treatment options for retinal vein occlusion?

Many causes of RVO.: Several approved treatments for retinal vein occlusions (rvo's) exist. They range from laser treatment to injections of one of several newly approved drugs to the eye. All the while, we must also address the underlying cause of the rvo. The most frequent association for rvo is hypertension, though there are others as well. Best to see a specialist in the treatment of retinal disease.

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Dr. Keshav Narain Dr. Narain
Ophthalmology - Retinal Surgery
25 years in practice
George Washington University Medical School
9

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Is there a treatment for retinal vein occlusion?

Is there a treatment for retinal vein occlusion?

Treatment for RVO?: Yes. In addition to traditional laser photocoagulation, there are several new medications that have proven to be very beneficial. Some of these medications are injected into the eye. Treatment of the underlying disease is important not only in maximizing repair processes, but to prevent recurrence. Untreated, rvo may result in severe vision loss.

Dr. Breno Da rocha lima Dr. Da rocha lima
Ophthalmology
years in practice
10

10
What can I expect from a branch retinal vein occlusion?

What can I expect from a branch retinal vein occlusion?

Depends on severity.: It depends on the severity and the perfusion of the retina. If a patient has macular edema ("swelling of the retina"), treatment is generally recommended. When it first presents, monthly monitoring with a retinal specialist is recommended.

Dr. Richard Scartozzi Dr. Scartozzi
Ophthalmology - Retinal Surgery
15 years in practice
Johns Hopkins University School of Medicine
11

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What is the cure for retinal vein occlusion?

There is no cure: There are only treatments to treat the effects: intravitreal injections and/or laser for macular edema (swelling), laser for proliferative changes (new blood vessel growth), and vitrectomy surgery for vitreous hemorrhage. See a retina specialist.

Dr. Lakshmana Kooragayala Dr. Kooragayala
Ophthalmology
32 years in practice
University of Health Sciences, Vijayawada, Kakatiya Medical College
12

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Describe retinal vein occlusion?

Eye vessel problem: Retinal vein which drains the blood out of the eye gets occluded. This causes blurryness of vision, sometimes loss of vision. It can come suddendly. Elevated blood pressure and patients with diabetes are some of the risk factors. New treatments are available to control some of the problems due to closure of blood vessels in the eye.

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Dr. William Goldstein Dr. Goldstein
Ophthalmology
27 years in practice
Wayne State University School of Medicine
13

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Can smoking weed be good or bad for eye diseases such as diabetic retinopathy and retinal vein occlusion?

Can smoking weed be good or bad for eye diseases such as diabetic retinopathy and retinal vein occlusion?

More downside...: More downside than upside such as lung disease. No evidence that marijuana helps either of those, and any smoking is bad for diseases that involve blood flow. Weed lowers eye pressure in glaucoma, but not for enough time to be effective. Other treatments work better.

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Dr. Dariush Saghafi Dr. Saghafi
Neurology
29 years in practice
Autonomous University of Guadalajara Faculty of Medicine
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Is smoking marijuana dangerous for eye conditions such as diabetic retinopathy and retinal vein occlusion or any other eye disorder?

Is smoking marijuana dangerous for eye conditions such as diabetic retinopathy and retinal vein occlusion or any other eye disorder?

YES: Smoke contains particulate matter ; is the residue of something burning or being burned. Smoke gets into the eyes, ears, nose, tongue, mouth, lungs, hair, pores of the skin etc. Sulfur and carbon monoxide are prominent elements of smoke along with 3000 other chemicals which likely cause cancer or are toxic to tissues. So, smoking anything is bad for your health if healthy let alone if ill.

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Dr. Sandra Lora Cremers Dr. Cremers
Ophthalmology
21 years in practice
Warren Alpert Medical School of Brown University
15

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If on Diagnosis of RVO all four quadrants are haemorrhaging is it possible that it could be classified as a Hemi-retinal vein Occlsion? Thank you, .

CRVO: Yes, a hemiretinal vein occlusion involves half of the retina. A central retinal vein occlusion involves the whole retina with dilated, tortuous veins & hemorrhage in all 4 quadrants. See retina specialist for work up and treatment.

Dr. Richard Bensinger Dr. Bensinger
Ophthalmology
48 years in practice
Johns Hopkins University School of Medicine
16

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Supposing your retinal vein burst open. Is it dangerous?

Yes: If a retinal vein breaks open, the blood within will push around the retina, could escape into the vitreous causing visual disturbance and might lead to a blockage of the vein which could also affect vision. If this is suspected, a retinal specialist should be seen immediately to diagnose and treat this.

Dr. Tarek Naguib Dr. Naguib
Internal Medicine - Nephrology & Dialysis
36 years in practice
University of Cairo Faculty of Medicine
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What are some alternative treatments for renal artery occlusion?

What are some alternative treatments for renal artery occlusion?

Medications: Occlusion means 100% stenosis. Usually not worth trying to opening due to high failure rate and due to the residual alive part of the kidney already is getting blood from somewhere and whatever died of it has died also risk benefit from bypass surgery is not favorable for same reason. Medications for BP control and conservative management is the way to proceed usually. Also protect the other kidney.

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Dr. Jay Bradley Dr. Bradley
Ophthalmology - LASIK Surgery
14 years in practice
Texas Tech University School of Medicine
18

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Why is my right eye currently bloodshot? I have a central retina vein occlusion in my left eye which I have had for the past 7 years.

Why is my right eye currently bloodshot? I have a central retina vein occlusion in my left eye which I have had for the past 7 years.

Bloodshot eye: With your history, I would go get this issue checked out asap. It is probably nothing serious but you hate to take chances with your vision. Go see your eye doctor.

Dr. Ed Friedlander Dr. Friedlander
Pathology
40 years in practice
Northwestern University Feinberg School of Medicine
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Help please, my doctors can't really help with this problem. What are alternative treatments to reduce cysts?

Help please, my doctors can't really help with this problem. What are alternative treatments to reduce cysts?

Breast cysts?: I have a couple of colleagues who tell me they've had success with evening primrose oil. Mainstream medicine has little to offer here. Best wishes.

Dr. Tarek Shahbandar Dr. Shahbandar
Anesthesiology
18 years in practice
Medical College of Wisconsin
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Could you tell me an alternative treatments for severe pain when afraid of opiates?

Could you tell me an alternative treatments for severe pain when afraid of opiates?

Combo: Many patients with severe chronic pain require a combination of meds (non-opioid). Examples may be nsaids like Naproxen or toradol, membrane stabilizers like gabapentin, some anti-depressant meds and topical meds like Lidoderm patches all depending on cause of pain. These patients may benefit from interventional pain procedures, biofeedback, cognitive therapy, exercise therapy and more...

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Dr. Harinder Gill
6 Doctors shared insights

Occlusion (Definition)

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Dr. Austina Cho
3 Doctors shared insights

Retina (Definition)

That lines the inner eyeball that turns light into chemical/electrical signals interpreted by brain which we ...Read more