G. Staurenghi et al., ARTERIOVENOUS CROSSING AS A RISK FACTOR IN BRANCH RETINAL VEIN OCCLUSION, American journal of ophthalmology, 117(2), 1994, pp. 211-213
To evaluate the importance of the position of the artery anterior to t
he vein in the arteriovenous crossing to the pathogenesis of first- an
d second-order branch retinal vein occlusion, we studied the fluoresce
in angiograms of 65 patients with branch retinal vein occlusion (65 ey
es). The corresponding crossing in the opposite arcade (superior or in
ferior) served as the control. In a statistically significant percenta
ge of crossings, the arteries were anterior to the veins in second-ord
er branches (odds ratio, 6.66; 95% confidence interval, 1.98 to 32.33;
chi(2), 12.56; P = .000394). However, their position was not found to
be important in the pathogenesis of first-order occlusions (odds rati
o, 1.3; 95% confidence interval, 0.23 to 9.01; chi(2), 0.14; P = .7082
81). These results suggest that some differences may exist in the risk
factors for branch retinal vein occlusion depending on the site of th
e occlusion.