Table 2.
The differential diagnosis of ocular ischemic syndrome, diabetic retinopathy and central retinal vein occlusion [3,4].
Ocular ischemic syndrome | Diabetic retinopathy | Central retinal vein occlusion | |
---|---|---|---|
Age | 50s to 80s | Variable | 50s to 80s |
Laterality | 80% unilateral | Bilateral | Usually unilateral |
Posterior segment signs | |||
Retinal veins | Dilated but not tortuous | Dilated and beaded | Dilated and tortuous |
Hemorrhages | Dot and blot, mid-periphery, in deeper retina layers | Dot, blot in deeper retina layers and flamme-shaped in in nerve fiber layer | Flamme-shaped in in nerve fiber layer |
Microaneurysms | In midperiphery | In posterior pole | Variable |
Hard exudates | Absent | Common | Rare |
Optic disk | Normal | Diabetic papillopathy (rarely) | Swollen |
Retinal arteria perfussion pressure | Decreased | Normal | Normal |
Fluorescein angiography | |||
Arterio-venous transie time | Prolonged | Usually normal | Prolonged |
Choroidal filling | Delayed, patchy | Normal | Normal |
Retinal vessel staining | Arteries > veins | Usually absent | Veins > arteries |