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Doppler assessment of hemodynamic changes after hemodilution in retinal vein occlusion
Author(s) -
Tranquart F.,
Arsene S.,
AubertUrena A. S.,
Desbois I.,
Audrerie C.,
Rossazza C.,
Pourcelot L.
Publication year - 1998
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/(sici)1097-0096(199803/04)26:3<119::aid-jcu2>3.0.co;2-p
Subject(s) - medicine , central retinal vein , central retinal artery , occlusion , central retinal vein occlusion , hemodynamics , retinal vein , blood flow , hematocrit , retinal , vein , cardiology , retinal artery , branch retinal vein occlusion , anesthesia , ophthalmology , macular edema
Purpose We assessed the usefulness of color Doppler imaging and spectral analysis in monitoring the effect of isovolemic hemodilution on retinal vein occlusion. Methods Color Doppler imaging was used to measure the systolic and diastolic blood flow velocities and the resistance index (RI) in the central retinal artery and the maximum and minimum blood flow velocities in the central retinal vein of affected eyes and contralateral unaffected eyes before and 1 day after isovolemic hemodilution in 70 adults (40 men and 30 women; mean age, 62.4 ± 13.7 years) who presented with retinal vein occlusion. Results With hemodilution, the hematocrit value was decreased from 41.8 ± 3.0 to 33.0 ± 3.0. In central retinal vein occlusion, the pretreatment arterial and venous flow velocities of affected eyes were significantly lower than those of unaffected eyes. After hemodilution in eyes affected by ischemic occlusion, a significant improvement in the RI in the central retinal artery was observed without changes in venous flow velocity. After hemodilution in eyes affected by nonischemic occlusion, a significant increase in maximal venous flow velocity only was noted. In branch retinal vein occlusion, no significant difference was observed in the RI between affected and unaffected eyes. After hemodilution, an improvement in RI was noted only for affected eyes. Conclusions The present results confirm the potential value of Doppler analysis in monitoring the impact of hemodilution on arterial and venous velocity in patients with central retinal vein occlusion. © 1998 John Wiley & Sons, Inc. J Clin Ultrasound 26:119–124, 1998.