Document Detail


Hyperhomocystinemia in patients with nonarteritic anterior ischemic optic neuropathy, central retinal artery occlusion, and central retinal vein occlusion.
MedLine Citation:
PMID:  10919914     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: This study aimed to determine the prevalence of hyperhomocystinemia among patients with nonarteritic anterior ischemic optic neuropathy (NAION), central retinal artery occlusion (CRAO), or central retinal vein occlusion (CRVO). DESIGN: Retrospective, case-control study. PARTICIPANTS: The study cohort consisted of 74 consecutive patients with NAION, CRAO, or CRVO who were examined at the Retina or Neuro-ophthalmological Unit of the Tel-Aviv Sourasky Medical Center from 1998 through 1999. The control group consisted of 81 consecutive patients of similar gender and age with no history of these pathologic conditions. MAIN OUTCOME MEASURES: Plasma homocystine levels of all study participants were obtained. RESULTS: Eighteen of 40 patients (45%) with NAION and eight of 13 patients (61.5%) with CRAO had hyperhomocystinemia compared with three of 21 (14.3%) in the CRVO group (P < 0.001) and eight (9.8%) in the control group (P < 0.0001). Hypertension and ischemic heart disease were significantly more prevalent in the NAION patients with elevated plasma homocystine. CONCLUSIONS: Our findings suggest that hyperhomocystinemia is a risk factor for NAION and CRAO.
Authors:
P Pianka; Y Almog; O Man; M Goldstein; B A Sela; A Loewenstein
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Ophthalmology     Volume:  107     ISSN:  0161-6420     ISO Abbreviation:  Ophthalmology     Publication Date:  2000 Aug 
Date Detail:
Created Date:  2000-08-08     Completed Date:  2000-08-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7802443     Medline TA:  Ophthalmology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1588-92     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology, Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel. boazp@netvision.net.il
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MeSH Terms
Descriptor/Qualifier:
Aged
Arteritis / complications
Case-Control Studies
Female
Homocysteine / blood
Humans
Hyperhomocysteinemia / blood,  complications*
Male
Middle Aged
Optic Neuropathy, Ischemic / blood,  complications*
Prevalence
Retinal Artery Occlusion / blood,  complications*
Retinal Vein Occlusion / blood,  complications*
Retrospective Studies
Risk Factors
Chemical
Reg. No./Substance:
454-28-4/Homocysteine
Comments/Corrections
Comment In:
Ophthalmology. 2001 Aug;108(8):1363   [PMID:  11470665 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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