Skip to main content
. 2012 Aug 1;18(8):RA138–RA144. doi: 10.12659/MSM.883260

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