Arteriovenous Adventitial Sheathotomy for the Treatment of Macular Edema Associated with Branch Retinal Vein Occlusion.
- Author:
Seon Hee BAE
1
;
Gi Hyung KIM
;
Jongwook KIM
Author Information
1. Department of Ophthalmology, Myung Gok Eye Research Institute, Konyang University College of Medicine, Daejon, Korea. kjwook@kyuh.co.kr
- Publication Type:Original Article
- Keywords:
AV sheathotomy;
BRVO;
Macular edema
- MeSH:
Decompression;
Fluorescein Angiography;
Humans;
Macular Edema*;
Retinal Vein Occlusion*;
Retinal Vein*;
Retinaldehyde*;
Visual Acuity;
Vitrectomy
- From:Journal of the Korean Ophthalmological Society
2003;44(11):2529-2538
- CountryRepublic of Korea
- Language:Korean
-
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.