Our body has two main types of blood vessels: arteries that carry important nutrients and oxygen to organs and tissues, and veins that carry blood that has been depleted of oxygen back toward the heart so that the blood can be re-oxygenated in the lungs and re-circulated.
Problems with the retinal blood vessels can cause blurred or distorted vision. A test called a fluorescein angiogram is performed in the office and can help in evaluating the retinal blood vessels.
The retina is supplied by a central retinal artery, which is a small artery originating from the carotid artery. The central retinal artery can get clogged by plaques which can cause a sudden occlusion. Arteries can also be affected by high blood pressure which may narrow and limit the blood flow. Inflammation is a rare cause of artery occlusions.
Typically there is one central retinal vein with many smaller branch veins. Veins have thin walls and therefore are susceptible to pressure from the stiffer neighboring arteries which may cause the vein to collapse. A blood clot may develop in a retinal vein causing a build-up of back pressure; bleeding into the retina then occurs, typically causing symptoms of blurriness. If the central vein is occluded, the symptoms tend to be more pronounced than if a smaller branch vein is involved.
Treatment of vascular occlusions can vary from observation to a variety of interventions. Laser treatments or injections of medications may be helpful. A systemic evaluation with your primary care provider may be recommended.
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