联合动静脉鞘切开术和术中玻璃体内曲安奈德治疗视网膜分支静脉阻塞。

Combined arteriovenous sheathotomy and intraoperative intravitreal triamcinolone acetonide for branch retinal vein occlusion.

机构信息

Edward S Harkness Eye Institute, Columbia University Medical Center, New York, NY 10032, USA.

出版信息

Br J Ophthalmol. 2010 Nov;94(11):1483-9. doi: 10.1136/bjo.2009.167270. Epub 2010 Sep 9.

DOI:10.1136/bjo.2009.167270

PMID:20829319

Abstract

PURPOSE

To describe the treatment of macular oedema secondary to branch retinal vein occlusion (BRVO) with concomitant pars plana vitrectomy/arteriovenous sheathotomy and intraoperative intravitreal triamcinolone acetonide.

METHODS

Retrospective case series.

RESULTS

Four eyes of four patients were identified. Patients improved from a mean best-corrected visual acuity of 20/124 at baseline to 20/122 at month 1, 20/83 at month 3, 20/74 at month 6, 20/59 at month 9 and 20/44 at month 12 (p = 0.01). All patients demonstrated improvement in visual acuity and macular oedema on fluorescein angiography and/or optical coherence tomography (OCT).

CONCLUSION

For patients with persistent macular oedema due to BRVO refractory to pharmacotherapy and/or laser photocoagulation, concomitant pars plana vitrectomy with arteriovenous sheathotomy and intravitreal triamcinolone may improve best-corrected acuity and reduce macular oedema on fluorescein angiography and OCT.

摘要

目的

描述玻璃体内曲安奈德注射联合视网膜静脉分支阻塞（BRVO）患眼玻璃体切除术/动静脉鞘切开术治疗黄斑水肿的效果。

方法

回顾性病例系列研究。

结果

4 名患者的 4 只眼纳入研究。患者最佳矫正视力从基线时的 20/124 提高到 1 个月时的 20/122、3 个月时的 20/83、6 个月时的 20/74、9 个月时的 20/59 和 12 个月时的 20/44（p = 0.01）。所有患者的视力和黄斑水肿均在荧光素眼底血管造影和/或光学相干断层扫描（OCT）上得到改善。