Skip to main content
The British Journal of Ophthalmology logoLink to The British Journal of Ophthalmology
. 1976 Jun;60(6):397–410. doi: 10.1136/bjo.60.6.397

Viscosity and retinal vein thrombosis.

C P Ring, T C Pearson, M D Sanders, G Wetherley-Mein
PMCID: PMC1017519  PMID: 952813

Abstract

Whole-blood and plasma viscosity with haematological and biochemical investigations were measured in 44 patients with retinal vein occlusion. The patients were subdivided on the basis of fluorescein angiographic findings into: 1. Those with large areas of capillary non-perfusion. 2. Those with small areas of capillary non-perfusion. 3. Those with an intact capillary pattern. Capillary non-perfusion in retinal vein occlusion is associated with a higher morbidity owing to the complications of retinal neovascularization. Significantly higher values of whole-blood viscosity, packed cell volume, and yield stress have been found in patients with capillary non-perfusion than in those without. These differences may be of critical importance during the episode of retinal vein occlusion and suggest an aetiological factor in the development of capillary non-perfusion. Higher whole-blood and plasma viscosity values and plasma fibrinogen levels have also been shown in the whole retinal vein occlusion group compared with a control group of 30 individuals. These differences may be a factor in the development of retinal vein occlusion but their precise role is difficult to evaluate. Further biochemical investigations in the vein occlusion group supported the strong association with arterial disease and suggested a higher incidence of biochemical abnormalities in those patients with capillary non-perfusion.

Full text

PDF
400

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Ashton N. Pathophysiology of retinal cotton-wool spots. Br Med Bull. 1970 May;26(2):143–150. doi: 10.1093/oxfordjournals.bmb.a070766. [DOI] [PubMed] [Google Scholar]
  2. BERRY T. J., PERKINS E., JERNSTROM P. The effect of venous compression on certain blood factors. Am J Clin Pathol. 1950 Aug;20(8):765–767. doi: 10.1093/ajcp/20.8.765. [DOI] [PubMed] [Google Scholar]
  3. BURCH G. E., DE PASQUALE N. P. Phlebotomy. Use in patients with erythrocytosis and ischemic heart disease. Arch Intern Med. 1963 Jun;111:687–695. doi: 10.1001/archinte.1963.03620300007003. [DOI] [PubMed] [Google Scholar]
  4. Blankenship G. W., Okun E. Retinal tributary vein occlusion. History and management by photocoagulation. Arch Ophthalmol. 1973 May;89(5):363–368. doi: 10.1001/archopht.1973.01000040365002. [DOI] [PubMed] [Google Scholar]
  5. Chien S., Usami S., Dellenback R. J., Gregersen M. I. Blood viscosity: influence of erythrocyte deformation. Science. 1967 Aug 18;157(3790):827–829. doi: 10.1126/science.157.3790.827. [DOI] [PubMed] [Google Scholar]
  6. Clemett R. S., Kohner E. M., Hamilton A. M. The visual prognosis in retinal branch vein occlusion. Trans Ophthalmol Soc U K. 1973;93(0):523–535. [PubMed] [Google Scholar]
  7. Cohen S. L., Staunton T. G., Irving D., Gorchein A. Abnormal glucose tolerance in association with retinal vascular occlusion. Biomedicine. 1973 Jun 20;19(6):235–238. [PubMed] [Google Scholar]
  8. DRYDEN R. M. CENTRAL RETINAL VEIN OCCLUSIONS AND CHRONIC SIMPLE GLAUCOMA. Arch Ophthalmol. 1965 May;73:659–663. doi: 10.1001/archopht.1965.00970030661012. [DOI] [PubMed] [Google Scholar]
  9. Dintenfass L. Rheology of blood in cardiovascular diseases. Bibl Anat. 1967;9:525–531. [PubMed] [Google Scholar]
  10. Ditzel J. Haemorheological factors in the development of diabetic microangiopathy. Br J Ophthalmol. 1967 Dec;51(12):793–803. doi: 10.1136/bjo.51.12.793. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Dormandy J. A., Gutteridge J. M., Hoare E., Dormandy T. L. Effect of clofibrate on blood viscosity in intermittent claudication. Br Med J. 1974 Nov 2;4(5939):259–262. doi: 10.1136/bmj.4.5939.259. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Ehrly A. M., Jung G. Circadian rhythm of human blood viscosity. Biorheology. 1973 Dec;10(4):577–583. doi: 10.3233/bir-1973-10411. [DOI] [PubMed] [Google Scholar]
  13. Ellis C. J., Hamer D. B., Hunt R. W., Lever A. F., Lever R. S., Peart W. S., Walker S. M. Medical Investigation of Retinal Vascular Occlusion. Br Med J. 1964 Oct 31;2(5417):1093–1098. doi: 10.1136/bmj.2.5417.1093. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Fujino T., Curtin V. T., Norton E. W. Experimental central retinal vein occlusion: a comparison of intraocular and extraocular occlusion. Trans Am Ophthalmol Soc. 1968;66:318–378. [PMC free article] [PubMed] [Google Scholar]
  15. GARBY L., VUILLE J. C. The amount of trapped plasma in a high speed micro-capillary hematocrit centrifuge. Scand J Clin Lab Invest. 1961;13:642–645. doi: 10.3109/00365516109137338. [DOI] [PubMed] [Google Scholar]
  16. Gass J. D. A fluorescein angiographic study of macular dysfunction secondary to retinal vascular disease. II. Retinal vein obstruction. Arch Ophthalmol. 1968 Nov;80(5):550–568. doi: 10.1001/archopht.1968.00980050552002. [DOI] [PubMed] [Google Scholar]
  17. Hershberg P. I., Wells R. E., McGandy R. B. Hematocrit and prognosis in patients with acute myocardial infarction. JAMA. 1972 Feb 14;219(7):855–860. [PubMed] [Google Scholar]
  18. INGRAM I. C. The determination of plasma fibrinogen by the clot-weight method. Biochem J. 1952 Aug;51(5):583–585. doi: 10.1042/bj0510583. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Kohner E. M., Dollery C. T., Shakib M., Henkind P., Paterson J. W., De Oliveira L. N., Bulpitt C. J. Experimental retinal branch vein occlusion. Am J Ophthalmol. 1970 May;69(5):778–825. doi: 10.1016/0002-9394(70)93420-3. [DOI] [PubMed] [Google Scholar]
  20. Kohner E. M., Hamilton A. M., Bulpitt C. J., Dollery C. T. Streptokinase in the treatment of central retinal vein occlusion. A controlled trial. Trans Ophthalmol Soc U K. 1974 Jul;94(2):599–603. [PubMed] [Google Scholar]
  21. Lewis B., Chait A., Wootton I. D., Oakley C. M., Krikler D. M., Sigurdsson G., February A., Maurer B., Birkhead J. Frequency of risk factors for ischaemic heart-disease in a healthy British population. With particular reference to serum-lipoprotein levels. Lancet. 1974 Feb 2;1(7849):141–146. doi: 10.1016/s0140-6736(74)92438-6. [DOI] [PubMed] [Google Scholar]
  22. MAYER G. A. BLOOD VISCOSITY IN HEALTHY SUBJECTS AND PATIENTS WITH CORONARY HEART DISEASE. Can Med Assoc J. 1964 Oct 31;91:951–954. [PMC free article] [PubMed] [Google Scholar]
  23. Murphy J. R. The influence of pH and temperature on some physical properties of normal erythrocytes and erythrocytes from patients with hereditary spherocytosis. J Lab Clin Med. 1967 May;69(5):758–775. [PubMed] [Google Scholar]
  24. NOVOTNY H. R., ALVIS D. L. A method of photographing fluorescence in circulating blood in the human retina. Circulation. 1961 Jul;24:82–86. doi: 10.1161/01.cir.24.1.82. [DOI] [PubMed] [Google Scholar]
  25. Ott E. O., Lechner H., Aranibar A. High blood viscosity syndrome in cerebral infarction. Stroke. 1974 May-Jun;5(3):330–333. doi: 10.1161/01.str.5.3.330. [DOI] [PubMed] [Google Scholar]
  26. SPALTER H. F. Abnormal serum proteins and retinal vein thrombosis. Arch Ophthalmol. 1959 Nov;62:868–881. doi: 10.1001/archopht.1959.04220050128021. [DOI] [PubMed] [Google Scholar]
  27. WELLS R. E., Jr, DENTON R., MERRILL E. W. Measurement of viscosity of biologic fluids by cone plate viscometer. J Lab Clin Med. 1961 Apr;57:646–656. [PubMed] [Google Scholar]
  28. Whitmore R. L. The flow behaviour of blood in the circulation. Nature. 1967 Jul 8;215(5097):123–126. doi: 10.1038/215123a0. [DOI] [PubMed] [Google Scholar]
  29. Zingg W., Sulev J. C., Morgan C. D. Study of possible sources of error in clinical blood viscosity determinations with the Wells-Brookfield viscometer. Effects of fasting, food intake and sample handling. Biorheology. 1973 Dec;10(4):509–515. doi: 10.3233/bir-1973-10402. [DOI] [PubMed] [Google Scholar]

Articles from The British Journal of Ophthalmology are provided here courtesy of BMJ Publishing Group

RESOURCES