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Sheathotomy in complicated cases of branch retinal vein occlusion

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Purpose: To report the clinical experience and results of using a microsurgical technique to decompress the arteriovenous connection in complicated branch retinal vein occlusion (BRVO) combined with haemorrhage, oedema an ischaemia. Methods: We carried out a retrospective, non-randomized, interventional case study of the surgical sheathotomy decompression procedure. We enrolled 12 patients (seven women, five men; median age 64 years) with BRVO and decreased visual acuity (VA) caused by haemorrhage, oedema and ischaemia. The mean duration of thrombosis was 7 months (2-15 months). The patients were examined for pre- and postoperative best corrected VA (BCVA), intraocular pressure (IOP) and fundus photography. Ten patients were examined with fluorescein angiography and eight with ocular coherence tomography (OCT). Postoperative progression of cataract was recorded, as were other complications. The mean follow-up time was 20 months (8-39 months). Results: Best corrected VA had improved in nine patients, was unchanged in one patient and had deteriorated in two patients at the last follow-up. Noted complications were venous haemorrhage at surgery in five patients, retinal detachment in one patient and progression of cataract in four patients. Conclusions: Microsurgical treatment with sheathotomy of BRVO is a technically feasible procedure with few complications. Postoperative increased reperfusion could explain the resolution of macular haemorrhage, oedema and ischaemia, and may improve visual function in patients with this common vascular eye disease
Udgivelsesdato: 2008/3
OriginalsprogEngelsk
TidsskriftActa Ophthalmologica Scandinavica
Vol/bind86
Udgave nummer2
Sider (fra-til)146-150
Antal sider4
ISSN1395-3907
StatusUdgivet - 2008

Bibliografisk note

Times Cited: 2Proceedings PaperEnglishCrafoord, SOrebro Univ Hosp, Dept Ophthalmol, SE-70185 Orebro, SwedenCited References Count: 32307VXBLACKWELL PUBLISHING9600 GARSINGTON RD, OXFORD OX4 2DQ, OXON, ENGLANDOXFORD

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