Document Detail


Combined arteriovenous sheathotomy and intraoperative intravitreal triamcinolone acetonide for branch retinal vein occlusion.
MedLine Citation:
PMID:  20829319     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To describe the treatment of macular oedema secondary to branch retinal vein occlusion (BRVO) with concomitant pars plana vitrectomy/arteriovenous sheathotomy and intraoperative intravitreal triamcinolone acetonide. METHODS: Retrospective case series. RESULTS: Four eyes of four patients were identified. Patients improved from a mean best-corrected visual acuity of 20/124 at baseline to 20/122 at month 1, 20/83 at month 3, 20/74 at month 6, 20/59 at month 9 and 20/44 at month 12 (p = 0.01). All patients demonstrated improvement in visual acuity and macular oedema on fluorescein angiography and/or optical coherence tomography (OCT). CONCLUSION: For patients with persistent macular oedema due to BRVO refractory to pharmacotherapy and/or laser photocoagulation, concomitant pars plana vitrectomy with arteriovenous sheathotomy and intravitreal triamcinolone may improve best-corrected acuity and reduce macular oedema on fluorescein angiography and OCT.
Authors:
John C Hwang; Susan K Gelman; Howard F Fine; Stanley Chang; Lucian V Del Priore
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-09-09
Journal Detail:
Title:  The British journal of ophthalmology     Volume:  94     ISSN:  1468-2079     ISO Abbreviation:  Br J Ophthalmol     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-10-21     Completed Date:  2010-11-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0421041     Medline TA:  Br J Ophthalmol     Country:  England    
Other Details:
Languages:  eng     Pagination:  1483-9     Citation Subset:  IM    
Affiliation:
Edward S Harkness Eye Institute, Columbia University Medical Center, New York, NY 10032, USA. sc433@columbia.edu
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MeSH Terms
Descriptor/Qualifier:
Administration, Intravesical
Adult
Aged
Anti-Inflammatory Agents / administration & dosage*
Combined Modality Therapy
Female
Fluorescein Angiography
Humans
Macular Edema / therapy*
Male
Middle Aged
Retinal Vein Occlusion / therapy*
Retrospective Studies
Triamcinolone Acetonide / administration & dosage*
Visual Acuity
Vitrectomy / methods*
Chemical
Reg. No./Substance:
0/Anti-Inflammatory Agents; 76-25-5/Triamcinolone Acetonide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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