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What is Vascular Eye?

Published in Eye Diseases 3 mins read

A "vascular eye" isn't a standard medical term, but it refers to conditions affecting the blood vessels in the eye, particularly in the retina. These conditions can lead to vision loss.

Understanding Vascular Eye Conditions

Vascular eye conditions arise from problems with the blood vessels supplying the retina, the light-sensitive tissue at the back of the eye. These problems typically involve:

  • Blockage of blood flow: Obstructions in arteries or veins prevent proper circulation.
  • Leakage of fluid: Damaged blood vessels leak fluid into the retina, causing swelling (edema).
  • Rupture of vessels: Fragile blood vessels can break and bleed into the retina or vitreous humor.

Common Vascular Eye Diseases

Several diseases fall under the umbrella of "vascular eye" conditions. Some prominent examples include:

  • Diabetic Retinopathy: High blood sugar damages retinal blood vessels, causing them to leak, swell, or develop abnormal new vessels (neovascularization).
  • Retinal Vein Occlusion (RVO): A blockage in a retinal vein restricts blood flow, leading to swelling and bleeding. This can be either a branch retinal vein occlusion (BRVO) or a central retinal vein occlusion (CRVO).
  • Retinal Artery Occlusion (RAO): A blockage in a retinal artery cuts off blood supply, potentially causing sudden and severe vision loss. This can be either a branch retinal artery occlusion (BRAO) or a central retinal artery occlusion (CRAO).
  • Hypertensive Retinopathy: High blood pressure damages retinal blood vessels, leading to narrowing, leakage, and other abnormalities.
  • Age-Related Macular Degeneration (AMD): While primarily a macular disease, the "wet" form of AMD involves the growth of abnormal blood vessels (choroidal neovascularization) that leak fluid and blood into the retina.

Symptoms of Vascular Eye Conditions

Symptoms can vary depending on the specific condition and severity but may include:

  • Blurred vision
  • Distorted vision
  • Floaters (spots in your vision)
  • Sudden vision loss
  • Dark spots in your vision

Diagnosis and Treatment

Diagnosis typically involves a comprehensive eye exam, including:

  • Visual acuity testing: Measuring how well you can see.
  • Dilated eye exam: Examining the retina and optic nerve after dilating the pupils.
  • Optical coherence tomography (OCT): Imaging the retina to detect swelling and other abnormalities.
  • Fluorescein angiography: Injecting dye into the bloodstream and taking pictures of the retinal blood vessels.

Treatment options depend on the specific condition and may include:

  • Laser photocoagulation: Sealing leaking blood vessels.
  • Anti-VEGF injections: Inhibiting the growth of abnormal blood vessels.
  • Corticosteroids: Reducing inflammation and swelling.
  • Vitrectomy: Surgery to remove blood and scar tissue from the vitreous humor.

Prompt diagnosis and treatment are crucial to minimize vision loss from vascular eye conditions.

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