Luo Xiangdong, Wang Xiaoying, Li Yang, Chen Xiaoyan, Wang Bin, Hu Qinrui, Li Xiaoxin
School of Medicine, Eye Institute and Affiliated Xiamen Eye Center of Xiamen University, Xiamen University, Xiamen, China.
Fujian Provincial Key Laboratory of Corneal & Ocular Surface Diseases, Xiamen, Fujian, China.
Sci Rep. 2025 Apr 2;15(1):11210. doi: 10.1038/s41598-025-95238-w.
To assess the efficacy and safety of vitrectomy combined with central retinal artery Cannulation in the treatment of retinal artery occlusion. Retrospective case analysis was conducted from April 2020 to March 2022 at the Xiamen Eye Center of Xiamen University, for patients diagnosed with central retinal artery occlusion or branch retinal artery obstruction, who underwent retinal artery Cannulation within 72 h of onset. All patients underwent pre- and postoperative visual acuity, intraocular pressure, fundus photography, optical coherence tomography, wide-angle fluorescein angiography, and visual field examination. Nine patients (6 males and 3 females) with an average age of 46 ± 28.6 years (range: 16-77 years) were included. Seven eyes were diagnosed with central retinal artery occlusion, and two eyes with branch retinal artery occlusion. The average time from onset to surgery was 40.1 h. One month after treatment, logMAR visual acuity improved in all 9 eyes of 9 patients, with a statistically significant difference (P = 0.012). Fluorescein angiography showed that postoperative arm-retinal circulation time was shortened in 5 cases (5/9, 55%) and unchanged in 4 cases (4/9, 45%). After surgery, patients generally report an improvement in vision, as well as an enhancement in their field of vision. Retinal artery Cannulation can effectively improve visual acuity and visual field, shorten the arm-retinal circulation time, and promote the recovery of retinal circulation.
评估玻璃体切除术联合视网膜中央动脉插管术治疗视网膜动脉阻塞的疗效和安全性。2020年4月至2022年3月在厦门大学附属厦门眼科中心进行回顾性病例分析，纳入发病72小时内接受视网膜动脉插管术的视网膜中央动脉阻塞或视网膜分支动脉阻塞患者。所有患者均接受术前和术后视力、眼压、眼底照相、光学相干断层扫描、广角荧光素血管造影和视野检查。纳入9例患者（男6例，女3例），平均年龄46±28.6岁（范围：16 - 77岁）。其中7只眼诊断为视网膜中央动脉阻塞，2只眼为视网膜分支动脉阻塞。从发病到手术的平均时间为40.1小时。治疗1个月后，9例患者的9只眼logMAR视力均有改善，差异有统计学意义（P = 0.012）。荧光素血管造影显示，术后5例（5/9，55%）臂 - 视网膜循环时间缩短，4例（4/9，45%）无变化。术后患者普遍反映视力改善，视野也有所扩大。视网膜动脉插管术可有效提高视力和视野，缩短臂 - 视网膜循环时间，促进视网膜循环恢复。
