Retinal Vein Occlusion Management (247)

Warning

exp date isn't null, but text field is

A guideline is intended to assist healthcare professionals in the choice of disease-specific treatments.

Clinical judgement should be exercised on the applicability of any guideline, influenced by individual patient characteristics. Clinicians should be mindful of the potential for harmful polypharmacy and increased susceptibility to adverse drug reactions in patients with multiple morbidities or frailty.

If, after discussion with the patient or carer, there are good reasons for not following a guideline, it is good practice to record these and communicate them to others involved in the care of the patients.

Note

Discuss with medical retina team regarding follow up and further treatment.

All patients must be given Glasgow Macular Service leaflet and advised to get in contact if vision deteriorates.

History (risk factors)

Age
Hypertension
Hyperlipidaemia
Diabetes
Smoking
Glaucoma

Examination

BCVA
RAPD
IOP
Gonioscopy (Open vs closed vs NVA)
Rubeosis
Dilated fundal exam

Baseline Investigations

FBC
U&E
CRP
ESR
Random Glucose
Lipids
BP
OCT
Further Ix if History suggests
In young patients, consider FFA to exclude vasculitis

Last reviewed: 12 February 2021

Next review: 12 February 2024

Author(s): David Gilmour

Version: 4

Author Email(s): [email protected]

Approved By: Ophthalmology Clinical Governance Subcommittee

Document Id: 247