Prevalence of Atrial Fibrillation in Patients with Retinal Vessel Occlusion and Its Association: A Systematic Review and Meta-Analysis

Kewcharoen, Jakrin; Tom, Elysse S; Wiboonchutikula, Chonlanan; Trongtorsak, Angkawipa; Wittayalikit, Chutikarn; Vutthikraivit, Wasawat; Prasitlumkum, Narut; Rattanawong, Pattara

doi:10.1080/02713683.2019.1641826

Cited by 25 publications

(18 citation statements)

References 31 publications

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“…This is the first meta-analysis demonstrating the relationship between RVO and CKD, with a relatively large sample size. Other meta-analysis also discusses about 45 Moreover, some other strong risk factors are detected for RVO including hypertension, diabetes mellitus, hyperlipidemia, and congenital thrombophilic diseases. 7 These results suggest doctors should pay attention to systemic conditions in RVO patients as well as the ocular disorders in patients with systemic diseases.…”

Section: Discussionmentioning

confidence: 99%

Retinal vein occlusion and chronic kidney disease: A meta-analysis

Fang

Dong

et al. 2020

European Journal of Ophthalmology

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Objectives: We performed this meta-analysis to assess the correlation of retinal vein occlusion (RVO) and chronic kidney disease (CKD). Methods: We searched PubMed, Embase, Web of Science and Cochrane Library for population-based studies reporting the CKD as associated factor to RVO, central retinal vein occlusion (CRVO) or branch retinal vein occlusion (BRVO). Then we pooled the data for analysis. Results: After screening potential literature, 12 eligible studies with 23,656,214 individuals were finally included in quantitative synthesis. The pooled prevalence (95% confidence interval [CI]) of CKD in RVO group was 10.9% (95% CI: 6.6%, 15.1%). The pooled prevalence of any RVO in end stage renal disease (ESRD) group was 1.8% (95% CI: 1.6%, 2.1%). The prevalence of CKD was significantly higher in subjects diagnosed with RVO than non-RVO participants (odds ratio [OR]: 3.30; 95% CI: 2.28, 4.76; p < 0.001). CRVO subjects had a higher prevalence of CKD than BRVO patients (OR: 2.17; 95% CI: 1.28, 4.66; p = 0.004). In a similar manner, compared to non-ESRD subjects, ESRD patients had significantly higher prevalence of RVO (OR: 2.19; 95% CI: 1.97, 2.43; p < 0.001), CRVO (OR: 2.61; 95% CI: 2.17, 3.15; p < 0.001) and BRVO (OR: 2.01; 95% CI: 1.76, 2.30; p < 0.001). Conclusion: The prevalence of CKD increases in RVO patients, especially in CRVO. And in turn, the prevalence of RVO also increases in ESRD patients. The data support a correlation of RVO and CKD.

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Section: Discussionmentioning

confidence: 99%

Retinal vein occlusion and chronic kidney disease: A meta-analysis

Fang

Dong

et al. 2020

European Journal of Ophthalmology

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“… 13 , 14 , 15 A recent metanalysis reported a prevalence of atrial fibrillation in 4.1–21.4% of patients with retinal artery or vein occlusions. 16 Although increased risk of thromboembolism in the early perioperative period of cardiac ablation is well-documented, 17 we were unable to find reports of PAMM or retinal artery occlusion shortly after ablation.…”

Section: Discussionmentioning

confidence: 83%

Transient vision loss associated with paracentral acute middle maculopathy detected on multi-modal imaging

Sengillo

Zhang

Sridhar

et al. 2021

American Journal of Ophthalmology Case Reports

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Purpose To report two patients with transient decreased vision and associated paracentral acute middle maculopathy (PAMM) lesions identified with multi-modal imaging, including what we believe to be the first documented patient of PAMM associated with iron deficiency anemia. Observations Case 1 is a 56-year-old man who experienced transient blurred vision one week following cardiac ablation for atrial fibrillation. Symptoms resolved by the time of presentation and visual acuity was 20/20 in each eye. Ocular examination was unremarkable aside from subtle discoloration within the papillomacular bundle in the right eye. Spectral domain optical coherence tomography (SD-OCT) revealed thickening of the middle retinal layers with a corresponding area of hyporeflectivity on the en face infrared image. This area of hyporeflectivity was confirmed on “structural” SD-OCT angiography, although no flow voids were identified. Fluorescein angiography was normal. Case 2 is a 25-year-old man with no past medical history who noted decreased central vision in his right eye upon awakening. Visual acuity was light perception in the right eye and 20/20 in the left eye. Posterior segment examination in the right eye showed tortuous retinal vessels and subtle pallor involving the superior part of the macula. SD-OCT showed thickening of the middle retinal layers of the superior macula with a corresponding area of hyporeflectivity on the en face infrared image. Systemic work-up was completed and identified severe iron deficiency anemia as the most likely inciting factor. In both cases, visual acuity was 20/20 in each eye at follow-up. Conclusions Small arterial occlusions of the retina remain difficult to diagnose and may represent a sequela of systemic disease. Multi-modal imaging is helpful in equivocal cases with subtle clinical findings. Importance The present case report illustrates the utility of multi-modal imaging in diagnosing transient ischemic events of the retina, and reports what we believe to be the first association of PAMM with iron deficiency anemia.

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“…The risk factors for CRAO are shown in Table 2. [3][4][5] AF was a cause of CRAO. A previous study using implantable loop recorders reported that 15% of CRAO patients had subclinical AF.…”

Section: Discussionmentioning

confidence: 99%

“…Central retinal artery occlusion can be caused by retinal artery embolism or hemodynamically induced retinal ischemia. The risk factors for CRAO are shown in Table 2 3‐5 . AF was a cause of CRAO.…”

Section: Discussionmentioning

confidence: 99%