VITRECTOMY WITH ARTERIOVENOUS DECOMPRESSION AND INTERNAL LIMITING MEMBRANE DISSECTION IN BRANCH RETINAL VEIN OCCLUSION

Retina ◽  
2002 ◽  
Vol 22 (6) ◽  
pp. 740-746 ◽  
Author(s):  
ULRICH MESTER ◽  
PATRICK DILLINGER
2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Katsuya Yagisawa ◽  
Takayuki Baba ◽  
Tomomi Kaiho ◽  
Hirotaka Yokouchi ◽  
Shuichi Yamamoto

A 61-year-old Japanese woman presented with impairment of her left vision due to macular schisis secondary to branch retinal vein occlusion. Her left vision was 20/50, and schisis was observed inferotemporally. She underwent phacoemulsification and aspiration, implantation of the intraocular lens, and removal of the epiretinal membrane and internal limiting membrane. Her visual acuity stabilized ~20/50 for two and a half years after the initial surgery. However, she developed macula-involving retinal detachment, and her visual acuity declined to counting fingers. She underwent pars plana vitrectomy and removal of the residual vitreous cortex together with the inner retina within the area of vein occlusion. After the removal of silicone oil and the addition of an encircling buckle, the retina remained attached and visual acuity improved to 20/60 at one year after the final surgery. The combination of rhegmatogenous and tractional detachment in the area of schisis was suspected, and vitrectomy with inner retinectomy was effective.


2020 ◽  
Vol 37 (1) ◽  
Author(s):  
Hussain Ahmad Khaqan ◽  
Usman Imtiaz ◽  
Hasnain Muhammad Baksh ◽  
Hafiz Ateeq Ur Rehman ◽  
Raheela Naz

Purpose:  To find out the anatomic and functional outcomes of pars plana vitrectomy (PPV) and internal limiting membrane (ILM) peeling in patients with refractory macular edema associated with branch retinal vein occlusion (BRVO). Study Design:  Interventional case series. Place and Duration of Study:  Ophthalmology department at Lahore General Hospital, Lahore from 2015 to 2019. Methods:  Fifty-five eyes of patients presenting with refractory macular edema associated with branch retinal vein occlusion (BRVO) were recruited for this study. They were treated using 23-gauge pars plana vitrectomy and Brilliant Blue Green assisted internal limiting membrane peeling. Pre-operative and post-operative best-corrected visual acuity (BCVA) and macular edema were assessed by fluorescein angiography and optical coherence tomography (OCT). Monthly follow up was continued for one year. Results:  In 46 (83.6%) eyes, central macular thickness improved from 465 ± 91 µm at baseline to 295 ± 103 µm post-operatively, (P < 0.003) at one year of followup. In nine (16.3%) eyes, there was no improvement in central macular thickness. Improvement in best-corrected visual acuity (BCVA) was seen in 43 (78.1%) eyes. Out of these 43 eyes, 37 (86%) eyes had mean 3 Snellen lines improvement while six (13.9%) eyes had 2.4 Snellen lines improvement. In 12 eyes (21.8%) BCVA did not improve. No statistically significant difference was seen in post-operative BCVA between ischemic and non-ischemic BRVO (p > 0.05). Conclusion:  Twenty-three gauge vitrectomy with Brilliant Blue Green (BBG) assisted ILM peeling is effective in reducing refractory macular edema and improves visual acuity in ischemic and non-ischemic BRVO. Key Words:  Internal limiting membrane, Macular edema, Retinal vein occlusion, Brilliant Blue Green.


2009 ◽  
Vol 223 (3) ◽  
pp. 172-176 ◽  
Author(s):  
Miyuki Arai ◽  
Shuichi Yamamoto ◽  
Yoshinori Mitamura ◽  
Eiju Sato ◽  
Takeshi Sugawara ◽  
...  

Author(s):  
Shivcharan Lal Chandravanshi, Sunil Kumar Shrivastava, Priyanka Agnihotri, Smriti Gupta

Aims and Objective - The aim of the present study is to identify risk factors associated with different retinal vascular occlusive diseases (RVOD), such as central retinal artery occlusion (CRAO), hemi-retinal artery occlusion (HRAO), branch retinal artery occlusion (BRAO), cilioretinal artery occlusion (Cilio-RAO), central retinal vein occlusion (CRVO), branch retinal vein occlusion (BRVO), and hemi-retinal vein occlusion (HRVO). Patients and Method - A cross-sectional study on 114 consecutive subjects, aged 24-96 years who have attended at the outpatient department of ophthalmology at Shyam Shah Medical College, Rewa, MP, were included in the study. The Duration of study was January 2016 to December 2017. Only patients with CRAO, BRAO, HRAO, Cilio-RAO, CRVO, BRVO, and HRVO were included in the study. Other retinal vascular disorders such as diabetic vaso-occlusive disease, anterior and posterior ischemic and non-ischemic neuropathy, hypertensive retinopathy, sickle cell retinopathy, retinal telangiectasia, retinopathy of prematurity, were excluded from study. Results - We have included 114 patients, 64 cases (56.14%) males, 50 (43.85%) females, aged 56+/-8 years (range 24-96 years).  Bilateral retinal vascular occlusive disorders were seen in only 4 cases (3.5%). Two patients have bilateral CRVO followed by one case of bilateral BRVO and one case of bilateral CRAO.  Out of 114 patients, branch retinal vein occlusion was seen in 62 cases (54.38%), followed by central retinal vein occlusion in 36 cases (31.57%), CRAO in 8 cases (7.01%), and hemi- retinal vein occlusion in 4 cases (3.50%). Hypertension was the most common, (40 cases, 35.08%) risk factor identified for retinal vascular occlusive disorders followed by diabetes 24 cases (21.05%), combined diabetes and hypertension in 22 cases (19.29%), and atherosclerosis in 18 cases (15.78%). Conclusions - Retinal vascular occlusive diseases have systemic as well as ocular risk factors. Understanding of these risk factors is essential for proper treatment of RVOD. Timely identification of risk factors for RVOD may helpful in decreasing ocular and systemic morbidity in these patients.


2019 ◽  
Vol 7 (4) ◽  
pp. 692-698
Author(s):  
Jecko Anto Kattampally ◽  
Koshy C Oommen ◽  
Vaibhavi Patil ◽  
Pranali Choudhari

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