Journal of the Korean Ophthalmological Society 2003;44(11):2529-2538.
Published online November 1, 2003.
Arteriovenous Adventitial Sheathotomy for the Treatment of Macular Edema Associated with Branch Retinal Vein Occlusion.
Seon Hee Bae, Gi Hyung Kim, Jongwook Kim
Department of Ophthalmology, Myung Gok Eye Research Institute, Konyang University College of Medicine, Daejon, Korea. kjwook@kyuh.co.kr
망막분지정맥폐쇄와 관련된 황반부종의 치료를 위한 외막초절개술
배선희 ( Bae Seon Hui ) , 김기형 ( Kim Gi Hyeong ) , 김종욱 ( Kim Jong Ug )
Abstract
PURPOSE
To report the arteriovenous (AV) adventitial sheathotomy for the treatment of macular edema associated with branch retinal vein occlusion (BRVO). METHODS: Seven eyes of seven patients with best corrected visual acuity of less than 20/200 secondary to BRVO received pars plana vitrectomy and AV adventitial sheathotomy, and were followed postoperatively for 1, 2, and 4 months. RESULTS: Intraoperative decompression of the AV crossing was achieved in all 7 patients. All patients showed clinical improvement as determined by fundus examination, optical coherent tomography, and fluorescein angiography. Postoperative visual acuity was better in 6 of the 7 patients (86%) with an average of two lines of vision being gained. CONCLUSIONS: AV adventitial sheathotomy may be beneficial for selected patients with poor vision secondary to BRVO.
Key Words: AV sheathotomy;BRVO;Macular edema


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