Characteristics of Branch Retinal Vein Occlusion in African American Patients

BACKGROUND AND OBJECTIVES: To describe the presentation, management, and clinical outcomes of branch retinal vein occlusion (BRVO) in African American patients compared to patients of other racial or ethnic backgrounds. PATIENTS AND METHODS: This retrospective cohort study included eyes diagnosed wi...

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Published inOphthalmic surgery, lasers & imaging Vol. 52; no. 9; pp. 492 - 497
Main Authors Ma, Justin P, Robbins, Cason B, Thomas, George N, Kiew, Sieh Yean, Yoon, Stephen P, Thomas, Akshay S, Fekrat, Sharon
Format Journal Article
LanguageEnglish
Published Thorofare Slack, Inc 01.09.2021
SLACK INCORPORATED
Subjects
African Americans
Age
Anticoagulants
Clinical outcomes
Comorbidity
Demographics
Diabetes
Diabetic retinopathy
Edema
Ethnicity
Eye (anatomy)
Glaucoma
Hypertension
Lasers
Minority & ethnic groups
Multivariate analysis
Occlusion
Race
Retinal diseases
Risk factors
Tobacco
Vascular endothelial growth factor
Visual acuity
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Summary:BACKGROUND AND OBJECTIVES: To describe the presentation, management, and clinical outcomes of branch retinal vein occlusion (BRVO) in African American patients compared to patients of other racial or ethnic backgrounds. PATIENTS AND METHODS: This retrospective cohort study included eyes diagnosed with BRVO and macular edema at a tertiary referral center. Presenting features, treatment, and outcomes were compared based on racial or ethnic backgrounds. RESULTS: The study included 285 eyes: 21.8% African American, 78.2% other. African American patients were more likely to have comorbid diabetes (P =.012), open-angle glaucoma (P <.001), and to present with subretinal fluid (P =.049); multivariate analysis showed race and ethnicity alone may not fully explain presenting subretinal fluid (odds ratio = 2.807; 95% CI, 0.997 to 7.903; P =.051). There was no difference in other comparisons of clinical outcomes or treatment burden, including visual acuity, duration, or treatment method. CONCLUSIONS: Despite significant differences at presentation, the management and outcomes of BRVO did not differ significantly between African American patients and patients of other racial and ethnic backgrounds. [Ophthalmic Surg Lasers Imaging Retina. 2021;52:492-497.]
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ISSN:2325-8160
2325-8179
DOI:10.3928/23258160-20210821-01