LASER-INDUCED CHORIORETINAL VENOUS ANASTOMOSIS TREATMENT OF NONISCHEMIC CENTRAL RETINAL VEIN OCCLUSION

被引:99
作者
MCALLISTER, IL [1 ]
CONSTABLE, IJ [1 ]
机构
[1] LIONS EYE INST, PERTH, WA, AUSTRALIA
关键词
D O I
10.1001/archopht.1995.01100040072030
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Objectives: To determine whether a chorioretinal venous anastomosis could be created in humans and to evaluate the influence this has on patients with nonischemic central retinal vein occlusions in whom progressive visual loss developed. Design: Retrospective study. Patients: A total of 24 patients with nonischemic central retinal vein occlusions and progressive visual loss. Intervention: An attempt was made to create a chorioretinal venous anastomosis using laser photocoagulation to enable obstructed venous blood to enter the choroid, thus bypassing the site of occlusion. Main Outcome Measures: Visual acuity, fundoscopic appearance, and rapid sequence fluorescein angiograms. Results: A successful chorioretinal venous anastomosis was created in eight cases (33%), with improvement in visual acuity and resolution of the funduscopic appearance of venous occlusion in all fight cases. Of the 16 patients (67%) in whom an anastomosis was not successfully created, the ischemic form of central retinal vein occlusion developed in five (31%), and eight (50%) were left with various degrees of macular damage and reduced visual acuity. Conclusions: Peripheral chorioretinal venous anastomoses can be created in a nonischemic central retinal vein occlusion and appear to be well tolerated. This technique may have some value in the treatment of patients with this condition; however, to address this fully, a properly constructed randomized prospective clinical trial will need to be performed.
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页码:456 / 462
页数:7
相关论文
共 29 条
[1]  
[Anonymous], 1984, AM J OPHTHALMOL, V98, P271
[2]   MORPHOLOGIC, FLUORESCEIN ANGIOGRAPHIC, AND LIGHT MICROSCOPIC FEATURES OF EXPERIMENTAL CHOROIDAL NEOVASCULARIZATION [J].
ARCHER, DB ;
GARDINER, TA .
AMERICAN JOURNAL OF OPHTHALMOLOGY, 1981, 91 (03) :297-311
[3]  
ARCINIEGAS A, 1984, ANN OPHTHALMOL, V16, P1081
[4]  
CHOPDAR A, 1984, ARCH OPHTHALMOL-CHIC, V102, P85
[5]   RETINAL VEIN OCCLUSION - A COMPARATIVE STUDY OF FACTORS AFFECTING PROGNOSIS INCLUDING A THERAPEUTIC TRIAL OF ATROMID S IN THIS CONDITION [J].
CLEMENTS, DB ;
ELSBY, JM ;
SMITH, WD .
BRITISH JOURNAL OF OPHTHALMOLOGY, 1968, 52 (02) :111-&
[6]  
DUFF IF, 1951, AMA ARCH OPHTHALMOL, V46, P601
[7]  
GOMBOS GM, 1978, ANN OPHTHALMOL, V10, P579
[8]  
Green W R, 1981, Trans Am Ophthalmol Soc, V79, P371
[9]   A RANDOMIZED PROSPECTIVE-STUDY ON TREATMENT OF CENTRAL RETINAL VEIN OCCLUSION BY ISOVOLEMIC HEMODILUTION AND PHOTOCOAGULATION [J].
HANSEN, LL ;
DANISEVSKIS, P ;
ARNTZ, HR ;
HOVENER, G ;
WIEDERHOLT, M .
BRITISH JOURNAL OF OPHTHALMOLOGY, 1985, 69 (02) :108-116
[10]   A RANDOMIZED PROSPECTIVE-STUDY OF TREATMENT OF NONISCHEMIC CENTRAL RETINAL VEIN OCCLUSION BY ISOVOLEMIC HEMODILUTION [J].
HANSEN, LL ;
WIEK, J ;
WIEDERHOLT, M .
BRITISH JOURNAL OF OPHTHALMOLOGY, 1989, 73 (11) :895-899