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040 _aEG-GICUC
_beng
_cEG-GICUC
_dEG-GICUC
_erda
041 0 _aeng
_beng
_bara
049 _aDeposit
082 0 4 _a617.73
092 _a617.73
_221
097 _aPh.D
099 _aCai01.11.24.Ph.D.2024.Ki.P
100 0 _aKirollos Joseph Guirguis Escander,
_epreparation.
245 1 0 _aPeripapillary vascular tortuosity index as a sign of stasis precipitating retinal vein occlusion in primary glaucomas /
_cby Kirollos Joseph Guirguis Escander ; Supervision of Prof. Sherif Aly Gamal El-Din, Prof. Dr. Ahmed Abdallah Mohalhal, Dr. Alaa El-Din Abdelsalam Fayed.
246 1 5 _a/ مؤشر انحراف الأوعية الدموية المحيطة بالعصب البصري كعلامة على الركود المؤدي إلى انسداد الوريد الشبكي في المياه الزرقاء الأولية
264 0 _c2024.
300 _a93 pages :
_billustrations ;
_c25 cm. +
_eCD.
336 _atext
_2rda content
337 _aUnmediated
_2rdamedia
338 _avolume
_2rdacarrier
502 _aThesis (Ph.D)-Cairo University, 2024.
504 _aBibliography: pages 78-93.
520 _aBackground: Retinal vein occlusion (RVO) is one of the most common retinal vascular disorders. It is associated with the occurrence of glaucoma as one of its main risk factors. The exact pathogenesis is unknown, however several theories state that the vascular stasis precipitating venous occlusion may result from external compression, vascular obstruction, or vascular wall pathology. Methods: This study was an observational, cross-sectional, case control study aiming at the evaluation of retinal peripapillary vascular tortuosity index (VTI) using OCT-A images as a sign of vascular stasis. 45 eyes were equally distributed among three study groups; healthy controls, glaucomatous eyes with no RVO and glaucomatous eyes with unilateral RVO. We also studied their OCT-A scans to obtain the vessel density of the peripapillary and macular capillary plexuses for evidence of capillary non-perfusion. Results: Our study revealed a statistically significant difference in the VTI among the three groups (p-value < 0.001); the highest VTI was in the glaucoma + RVO group (1.13 ± 0.02, 1.16 ± 0.02) followed by the glaucoma with no RVO group (1.06 ± 0.01, 1.07 ± 0.01) and at last the healthy control group (1.04 ± 0.01, 1.05 ± 0.01).The vessel density was significantly less in the macular superficial capillary plexuses in glaucomatous compared to non-glaucomatous eyes, but deep capillary plexuses showed no statistically significant difference. Conclusion: Primary glaucomas contribute to higher levels of peripapillary vascular stasis manifested by increased vascular tortuosity. This may precipitate retinal vein occlusion in these eyes even in the absence of other classic cardiovascular risk factors
530 _aIssues also as CD.
546 _aText in English and abstract in Arabic & English.
650 7 _aVisual and retinal nerve diseases
_2qrmak
653 0 _aRetinal vein occlusion
_avascular tortuosity index
_aprimary glaucomas
_aperipapillary
_aOCT-A
_asuperficial capillary plexus
_adeep capillary plexus
700 0 _aSherif Aly Gamal El-Din
_ethesis advisor.
700 0 _aAhmed Abdallah Mohalhal
_ethesis advisor.
700 0 _aAlaa El-Din Abdelsalam Fayed
_ethesis advisor.
900 _b01-01-2024
_cSherif Aly Gamal El-Din
_cAhmed Abdallah Mohalhal
_cAlaa El-Din Abdelsalam Fayed
_UCairo University
_FFaculty of Medicine
_DDepartment of Ophthalmology
905 _aShimaa
_eHuda
942 _2ddc
_cTH
_e21
_n0
999 _c170157