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Ancillary Testing in the Management of Retinal Vein Occlusions

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Retinal Vein Occlusions

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Abstract

Ancillary testing is important in the diagnosis and management of retinal vein occlusion (RVO). Fluorescein angiography (FA) and electroretinography (ERG) can help determine the ischemic status of central retinal vein occlusion, which influences the frequency of follow-up. Optical coherence tomography (OCT) provides a sensitive and objective test over time for the diagnosis of macular edema and is necessary for the treatment of this complication of RVO. Familiarity with ancillary tests and their limitations is therefore necessary for optimal management. All ancillary tests cost money to obtain and interpret. Because financial resources for health care are scarce, ophthalmologists need to judge whether a test adds sufficient value to the care of a patient to make obtaining it worthwhile. There is an inherent conflict of interest in fee-for-service systems of health care (e.g., in the United States). The ophthalmologist profits by ordering more ancillary tests. Therefore, the topic is not only important to discuss but also sensitive.11

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    David J. Browning MD, PhD

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Browning, D.J. (2012). Ancillary Testing in the Management of Retinal Vein Occlusions. In: Retinal Vein Occlusions. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-3439-9_8

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