Document Detail


Successful erbium: YAG laser-induced chorioretinal venous anastomosis for the management of ischemic central retinal vein occlusion. A report of two cases.
MedLine Citation:
PMID:  11789869     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Central retinal vein occlusion (CRVO) is a disorder with potentially blinding complications, particularly when associated with retinal ischemia. There is no reliable treatment for ischemic CRVO. METHODS: We developed a new approach for ischemic cases of CRVO consisting of vitrectomy, posterior hyaloid detachment, and four erbium:YAG laser-induced chorioretinal anastomoses, one in each quadrant. RESULTS: We report two cases of ischemic CRVO treated with this approach, with initial visual acuity of count fingers at 30 cm and hand movements respectively. After the surgery, there was resolution of hemorrhages and macular edema and visual improvement to 20/400 in the first case and to 20/180 in the second case. In both cases, there was successful creation of chorioretinal anastomoses, and there was no anterior segment neovascularization or other complications related to the surgery. CONCLUSION: This treatment shows promise in the management of the ischemic cases of CRVO, and further evaluation is justified.
Authors:
H Quiroz-Mercado; E Sánchez-Buenfil; J L Guerrero-Naranjo; D Ochoa-Contreras; M Ruiz-Cruz; G Marcellino; D J Damico
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv für klinische und experimentelle Ophthalmologie     Volume:  239     ISSN:  0721-832X     ISO Abbreviation:  Graefes Arch. Clin. Exp. Ophthalmol.     Publication Date:  2001 Nov 
Date Detail:
Created Date:  2002-01-14     Completed Date:  2002-05-13     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8205248     Medline TA:  Graefes Arch Clin Exp Ophthalmol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  872-5     Citation Subset:  IM    
Affiliation:
Retina Service, Hospital Dr. Luis Sánchez Bulnes, Asociación para evitar la Ceguera en Mexico, Mexico City. retinamex@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Anastomosis, Surgical / methods
Choroid / blood supply*
Coloring Agents / diagnostic use
Female
Fluorescein Angiography
Humans
Indocyanine Green / diagnostic use
Laser Therapy / methods*
Prognosis
Retinal Vein / surgery*
Retinal Vein Occlusion / surgery*
Visual Acuity
Vitrectomy
Chemical
Reg. No./Substance:
0/Coloring Agents; 3599-32-4/Indocyanine Green

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


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