Arteriovenous adventitial sheathotomy for branch retinal vein occlusion: Report of a case with longterm follow-up
2006 (English)In: Acta Ophthalmologica Scandinavica, ISSN 1395-3907, Vol. 84, no 5, 699-702 p.Article in journal (Refereed) Published
Purpose: To report the longterm follow-up of a case of branch retinal vein occlusion (BRVO) treated with vitrectomy and adventitial sheathotomy. Methods: A three-port vitrectomy was performed in a 55-year-old man with symptoms of BRVO of about 3months' duration. After a core vitrectomy, the adventitial sheath of the affected arteriovenous crossing was dissected so that the anterior surface of the arteriole was freely exposed. Results: On the second postoperative day, visual acuity (VA) in the affected left eye had increased from preoperative 0.3 to 0.6. Within 6months the fundus had almost normalized and vision improved to 1.0. Cataract surgery was performed about 2years after the vitrectomy. At a follow-up 4years and 11months after the sheathotomy, VA was 1.0 and no signs of recurrence were seen. Conclusions: Adventitial sheathotomy may improve vision in selected cases of BRVO. Further studies are necessary to determine the role of sheathotomy in the management of cases with BRVO. © 2006 Acta Ophthalmol Scand.
Place, publisher, year, edition, pages
2006. Vol. 84, no 5, 699-702 p.
branch retinal vein occlusion - arteriovenous decompression - sheathotomy - vitrectomy
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-36139DOI: 10.1111/j.1600-0420.2006.00697.xLocal ID: 30105OAI: oai:DiVA.org:liu-36139DiVA: diva2:256987