{"id":16473,"date":"2021-07-28T12:28:32","date_gmt":"2021-07-28T12:28:32","guid":{"rendered":"https:\/\/www.optometrists.org\/?page_id=16473"},"modified":"2021-12-13T11:45:37","modified_gmt":"2021-12-13T11:45:37","slug":"branch-retinal-vein-occlusion","status":"publish","type":"page","link":"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/guide-to-retinal-diseases\/branch-retinal-vein-occlusion\/","title":{"rendered":"Branch Retinal Vein Occlusion"},"content":{"rendered":"<h2><b>Over 13.9 million adults are affected by branch retinal vein occlusion (BRVO) globally.<\/b><\/h2>\n<p>Blood is carried throughout your body, including your eyes, through arteries and veins. One main artery and one main vein provide all the oxygen and nutrients for the retina of the eye.<\/p>\n<h2><b>Branch retinal vein occlusion (BRVO)\u00a0<\/b><\/h2>\n<p>BRVO is a <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/guide-to-retinal-diseases\/retinal-diseases\/\">retinal disease<\/a> which occurs when the branches of the retinal vein become blocked.<\/p>\n<p>Blood and fluid leak out into the retina when a vein is blocked. This fluid might cause the macula to expand, compromising your central vision.<\/p>\n<p><b>Without venous blood circulation from the retina, <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/guide-to-retinal-diseases\/retinal-diseases\/\">retinal disease will occur<\/a> as the nerve cells die and eyesight deteriorates.<\/b><\/p>\n<h2><b>What causes BRVO<\/b><\/h2>\n<p>The majority of blockages resulting from BRVOs occur at an arteriovenous crossing, the place on the retina where a retinal artery and vein cross over each other.<\/p>\n<p>At this cross-over point both vessels share a common sheath (connective tissue), and the vein becomes constricted when the artery loses flexibility due to atherosclerosis or hardening of the arteries.<\/p>\n<p>The turbulent blood flow in the restricted vein encourages clotting, resulting in a blockage or occlusion. This obstruction prevents blood flow, resulting in fluid leaks in the macula (macular edema) and ischemia (low blood flow) in the blood vessels supplying the macula.<\/p>\n<p>The common risk factors for BRVO are:<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Cardiovascular (heart) disease<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Glaucoma<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Being overweight or obese<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Uncontrolled high blood pressure<\/li>\n<\/ul>\n<h2><b>Symptoms of BRVO<\/b><\/h2>\n<p>BRVO produces a painless, rapid loss of vision. BRVO can go unnoticed, with no symptoms if the affected area is not in the center of the eye.<\/p>\n<p>Visual floaters from a vitreous hemorrhage, blood vessels bleeding into the vitreous gel of the eye, might be the major symptom in rare situations of an undetected vein blockage; this is caused by the growth of abnormal new blood vessels in the retina.<\/p>\n<p><strong>SEE RELATED: <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/guide-to-retinal-diseases\/\">Guide to Retinal Diseases<\/a><\/strong><\/p>\n<p><b>If you\u2019ve experienced any vision loss c<a href=\"https:\/\/www.optometrists.org\/practice-search\/\">ontact an eye doctor near you<\/a>.<\/b><\/p>\n\n\t<div class=\"practice-search-widget\">\n\t\t<h3>Find an eye doctor near you<\/h3>\n\t\t\n\t<form class=\"practice-search-form practice-search-form-widget\" action=\"https:\/\/www.optometrists.org\/practice-search\/results\/\" method=\"get\">\n\n\t\t<input type=\"hidden\" name=\"distance\" value=\"100\" class=\"practice-search-distance\">\n\t\t<input type=\"hidden\" name=\"page\" class=\"practice-search-page\">\n\t\t<input type=\"hidden\" name=\"address_latitude\"><input type=\"hidden\" name=\"address_longitude\">\n\n\t\t<input type=\"text\" name=\"address\" class=\"practice-search-address\" placeholder=\"City, Surburb or Address\" value=\"\">\n\n\t\t\n\t\t\t<input type=\"hidden\" name=\"distance\" value=\"100\" class=\"practice-search-distance\">\n\n\t\t\n\n\t\t<button type=\"submit\" class=\"practice-search-button\">\n\t\t\t\t\t\t\t\t\t<svg width=\"19\" height=\"19\" viewBox=\"0 0 19 19\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M10.6796 0.130005C9.15708 0.130059 7.66615 0.5646 6.38198 1.38258C5.09781 2.20057 4.07373 3.36803 3.43004 4.74783C2.78634 6.12763 2.54976 7.66246 2.74808 9.17205C2.9464 10.6816 3.57139 12.1033 4.54964 13.27L0.729639 17.08C0.6364 17.1732 0.562439 17.2839 0.511979 17.4058C0.461519 17.5276 0.435547 17.6581 0.435547 17.79C0.435547 17.9219 0.461519 18.0524 0.511979 18.1743C0.562439 18.2961 0.6364 18.4068 0.729639 18.5C0.917942 18.6883 1.17334 18.7941 1.43964 18.7941C1.5715 18.7941 1.70207 18.7681 1.82389 18.7177C1.94571 18.6672 2.0564 18.5932 2.14964 18.5L5.99964 14.62C7.35406 15.6038 8.98566 16.1324 10.6596 16.13C12.7814 16.13 14.8162 15.2871 16.3165 13.7869C17.8168 12.2866 18.6596 10.2517 18.6596 8.13C18.6596 6.00827 17.8168 3.97344 16.3165 2.47315C14.8162 0.97286 12.7814 0.130005 10.6596 0.130005H10.6796ZM10.6796 14.13C9.49295 14.13 8.33291 13.7781 7.34622 13.1188C6.35952 12.4595 5.59049 11.5225 5.13636 10.4261C4.68224 9.32975 4.56342 8.12335 4.79493 6.95946C5.02644 5.79558 5.59788 4.72648 6.437 3.88736C7.27611 3.04825 8.34521 2.4768 9.5091 2.24529C10.673 2.01378 11.8794 2.1326 12.9757 2.58673C14.0721 3.04085 15.0092 3.80989 15.6685 4.79658C16.3277 5.78328 16.6796 6.94332 16.6796 8.13C16.6796 9.7213 16.0475 11.2474 14.9223 12.3726C13.7971 13.4979 12.2709 14.13 10.6796 14.13Z\" fill=\"#fff\"\/><\/svg>\n\t\t\t\t\t<\/button>\n\n\t\t<button type=\"button\" class=\"practice-search-use-my-location\">\n\t\t\tSearch near me\n\t\t<\/button>\n\n\n\t<\/form>\n\n\n\n\t\t<\/div>\n\n\t\n<h2><b>How is BRVO diagnosed?<\/b><\/h2>\n<p>BRVO is most often diagnosed during an <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-exams\/eye-exams\/what-is-a-digital-retinal-image\/\">retinal eye exam with digital retinal imaging<\/a> that reveals a retinal hemorrhage (blood vessels leaking into the retina), twisted and thickened blood vessels, and retinal edema (swelling with fluid).<\/p>\n<p>Two types of in-depth retinal imaging tests aid the diagnosis of BRVO:<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-exams\/eye-exams\/what-is-fluorescein-angiography\/\">Fluorescein angiography (FA)<\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-exams\/eye-exams\/what-is-an-oct-eye-exam\/\">Optical coherence tomography (OCT)<\/a><\/li>\n<\/ul>\n<p>FA is very valuable for detecting BRVO and the flow of the blood vessels. This process provides images of fluid leaking from abnormal or damaged retinal vessels, demonstrating:<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Edema (swelling with fluid)<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Ischemia (inadequate blood supply)<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Venous stasis (congestion and slowing of circulation)<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Retinal neovascularization (abnormal growth of new blood vessels in the retina)<\/li>\n<\/ul>\n<p>OCT provides images of the central retina that are detailed, enabling the detection of macular edema and fluid outside the macula. An OCT can help determine whether macular edema is present and, if so, how serious it is.<\/p>\n<h2><b>BRVO treatment<\/b><\/h2>\n<p>Before any treatment can be prescribed, your eye doctor will need to identify any underlying risk factors and treat them.<\/p>\n<p>Rather than attempting to clear the obstruction, eye treatment focuses on addressing retinal problems.<\/p>\n<p><b>1 Anti-VEGF injections<\/b><\/p>\n<p>Macular edema, the most common cause of BRVO-related vision loss, is frequently treated with <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/guide-to-diabetes-and-the-eyes\/how-is-diabetic-retinopathy-treated\/how-do-anti-vegf-injections-work\/\">intraocular injections of anti-VEGF medications<\/a> to inhibit the formation of abnormal new blood vessels and reduce leakage.<\/p>\n<p><b>2. Laser<\/b><\/p>\n<p>In hard-to-treat cases, laser surgery may be used along with anti-VEGF therapy. In order to treat macular edema, light laser pulses are applied in a grid pattern to the macula.<\/p>\n<h2><b>BRVO prognosis<\/b><\/h2>\n<p>Overall, the prognosis for BRVO is favorable, especially once the cause of the <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/guide-to-retinal-diseases\/\">underlying retinal disease<\/a> and blockage is treated.<\/p>\n<p>In fact, some BRVO patients don&#8217;t need treatment at all, either because the blockage did not affect the macula or the blockage was resolved without any long term vision loss.<\/p>\n<p><strong>LEARN MORE: <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-health\/\">Guide to Eye Health<\/a><\/strong><\/p>\n<p><b><a href=\"https:\/\/www.optometrists.org\/practice-search\/\">Schedule an appointment<\/a> with an eye doctor near you who can diagnose and treat BRVO, to reduce the risk of permanent vision loss<\/b>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Over 13.9 million adults are affected by branch retinal vein occlusion (BRVO) globally. Blood is carried throughout your body, including your eyes, through arteries and<\/p>\n","protected":false},"author":4,"featured_media":16474,"parent":20096,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template-article.php","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-16473","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Branch Retinal Vein Occlusion - Optometrists.org<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/guide-to-retinal-diseases\/branch-retinal-vein-occlusion\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Branch Retinal Vein Occlusion - Optometrists.org\" \/>\n<meta property=\"og:description\" content=\"Over 13.9 million adults are affected by branch retinal vein occlusion (BRVO) globally. 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