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 ) |
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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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