Glaucoma crônico simples e oclusão de veia central da retina

Glaucoma crônico simples e oclusão de veia central da retina


Rosane da Cruz Ferreira,
Lisiane da Cruz Ferreira,
Luciano Wolffenbuttel,
Idel Kwitko


Arquivos Brasileiros de Oftalmologia

versão impressa ISSN 0004-2749versão On-line ISSN 1678-2925

Arq. Bras. Oftalmol. vol.55 no.5 São Paulo sep./out. 1992


The relationship between Central Retinal Vein Occlusion (CVRO) and Chronic Simple Glaucoma has been reported by some investigators although the exact mechanism underlying this association is not clear yet. ln this study we demonstrate this association out of 372 patients with chronic simple glaucoma that were treated in HCPA between 1989 and 1990, 7 cases of CRVO were diagnosed, an incidence of 1,88%. Whereas, out of 750 patients in one sex and age matched group of controls there were no cases of CRVO. A statistically significant difference was found in a comparison between these two groups (p < 0,001). We emphasize the importance of this association since chronic simple glaucoma is a bilateral disease, therefore, the finding of a CRVO in one eye must be followed by a complete evaluation of the other eye, to prevent blindness by glaucoma in this remaining eye.

Key words: glaucoma; vein occlusion; vasculopathy


01 BECKER, B.; POST, L.T. - Retinal Vein Occlusion. Am. J. Ophthalmol., 34(5): 677-686, 1951.
02 BERTELSEN, T.L. - Relationship Between Thrombosis in Retinal Veins and Primary Glaucoma. ACTA Ophthal., 39: 603-613, 1961.
03 BROWN, G.C.; et al. - Neovascular Glaucoma. Ophthalmology, 91(4): 315-320, 1984.
04 CHEW, E.Y.; et al. - Diurnal Intraocular Pressure in Young Adults with Retinal Vein Occlusion. Ophthalmology, 94(12): 1545-49, 1987.
05 CLEMENTS, D.B.; ELSBY, J.M.; SMITH, W.D. - Retinal Vein Occlusion. Brit. J. Ophthal., 52: 111-16, 1968.
06 COLE, M.D., DODSON, P.M.; HENDELES, S. - Medical Conditions underlying Retinal Vein Occlusion in Patients with Glaucoma or Ocular Hypertension. Brit. J. Ophthal., 73: 693-697, 1989.
07 DOBREE, J.H. - Chronic Retinal Vein Occlusion in Glaucoma. Traits. Ophthal. Soc. 77: 229-34, 1957.
08 DRYDEN, R. - Central Retinal Vein Occlusions and Chronic Simple Glaucoma. Arch. Ophthal., 73: 659-663, 1965.
09 FRUCHT, J.; SHAPIRO, A.; MERIN, S. - Intraocular Pressure in Retinal Vein Occlusion. Brit. J. Ophthal., 68: 26-28, 1984.
10 HITCHINGS, R.A.; SPAETH, G.L. - Chronic Retinal Vein Occlusion in Glaucoma. Brit. J. Ophthal., 60: 694-699, 1976.
11 KLAVER, J.H.J.; et al. - Blood and Plasma Viscosity Measurements in patients with Glaucoma. Brit. J. Ophthal., 69: 765-770, 1985.
12 PACINI NETO, L.; SILVA, J.A.; VILAÇA, J.L. - Trombose da Veia Central da Retina. Rev. Bras. Oftalmol., 50(4): 11-14, 1991.
13 NEWELL, F.W.; et al. - The Prevalence of Chronic Simple Glaucoma in the United States. Am. J. Ophthalmol., 74(2): 355-359, 1972.
14 RUBINSTEIN, K.; JONES, E.B. - Retinal Vein Occlusion: Long term prospects. Brit. J. Ophthal., 60: 148-150, 1976.
15 SMITH, R. - Retinal Vein Occlusion and Glaucoma. Arch. Ophthal., 42: 690-691, 1976.
16 VANNAS, S.; TARKKANEN. A. - Retinal Vein Occlusion and Glaucoma. Brit. J. Ophthal., 44: 583-589, 1960.
17 VERHOEFF, F.H. - Effect of Chronic Glaucoma on Central Retinal Vessels. Arch. Ophthal., 42: 145-155, 1913.
18 WILLIAMS, B.; PEART, W.S. - Retinal Vein Occlusion and Intraocular Pressure: abnormal Postural independent of facility of Outflow. Brit. J. Ophthal., 63: 805-807, 1979.
19 WILSON, F.M.; et al. - Open-angle Glaucoma in: Basic and Clinical Science Course. American Academy of Ophthal., Section 8, pg. 59-61, 1990-91.