Successful erbium: YAG laser-induced chorioretinal venous anastomosis for the management of ischemic central retinal vein occlusion. A report of two cases.
Graefes Arch Clin Exp Ophthalmol
; 239(11): 872-5, 2001 Nov.
Article
em En
| MEDLINE
| ID: mdl-11789869
ABSTRACT
BACKGROUND:
Central retinal vein occlusion (CRVO) is a disorder with potentially blinding complications, particularly when associated with retinal ischemia. There is no reliable treatment for ischemic CRVO.METHODS:
We developed a new approach for ischemic cases of CRVO consisting of vitrectomy, posterior hyaloid detachment, and four erbiumYAG laser-induced chorioretinal anastomoses, one in each quadrant.RESULTS:
We report two cases of ischemic CRVO treated with this approach, with initial visual acuity of count fingers at 30 cm and hand movements respectively. After the surgery, there was resolution of hemorrhages and macular edema and visual improvement to 20/400 in the first case and to 20/180 in the second case. In both cases, there was successful creation of chorioretinal anastomoses, and there was no anterior segment neovascularization or other complications related to the surgery.CONCLUSION:
This treatment shows promise in the management of the ischemic cases of CRVO, and further evaluation is justified.
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Coleções:
01-internacional
Temas:
Geral
Base de dados:
MEDLINE
Assunto principal:
Veia Retiniana
/
Oclusão da Veia Retiniana
/
Corioide
/
Terapia a Laser
Tipo de estudo:
Prognostic_studies
Limite:
Adult
/
Aged
/
Female
/
Humans
Idioma:
En
Revista:
Graefes Arch Clin Exp Ophthalmol
Ano de publicação:
2001
Tipo de documento:
Article