Uslu Hasim, Kanra Ayse Yagmur
Hisar Hospital, Department of Ophthalmology, Istanbul, Turkey.
Sultanbeyli Dünyagöz Eye Hospital, Department of Ophthalmology, Istanbul, Turkey.
GMS Ophthalmol Cases. 2020 Aug 11;10:Doc36. doi: 10.3205/oc000163. eCollection 2020.
To describe the clinical efficiency of transluminal Nd:YAG laser embolysis (TYE) and hyperbaric oxygen (HBO) as an off-label combined treatment for branch retinal artery occlusion (BRAO) with visible emboli. A 77-year-old woman had a history of seeing a "shadow" in the lower visual field of the left eye for three days. Platelet-fibrin embolus at the arterial bifurcation was disintegrated by TYE technique and the patient was referred to HBO treatment for 20 sessions. One week after treatment, best-corrected visual acuity improved to 0.8 while a good arterial blood flow in the affected branch was seen. Platelet fibrin plaques had disappeared at fundus, and the pale appearance in the retina had decreased. TYE and HBO combination treatment may be an effective and feasible treatment for restoration of blood flow and vision in BRAO cases caused by visible platelet-fibrin emboli.
描述经腔钕钇铝石榴石激光栓子溶解术（TYE）联合高压氧（HBO）作为一种非标签联合治疗方法，用于治疗伴有可见栓子的视网膜分支动脉阻塞（BRAO）的临床疗效。一名77岁女性，有左眼下方视野出现“阴影”3天的病史。通过TYE技术将动脉分叉处的血小板纤维蛋白栓子溶解，患者接受20次HBO治疗。治疗1周后，最佳矫正视力提高到0.8，同时可见患支动脉血流良好。眼底血小板纤维蛋白斑块消失，视网膜苍白外观减轻。TYE联合HBO治疗对于由可见血小板纤维蛋白栓子引起的BRAO病例恢复血流和视力可能是一种有效且可行的治疗方法。
