Long-term Visual Outcome of Arteriovenous Adventitial Sheathotomy on Branch Retinal Vein Occlusion Induced Macular Edema
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: To evaluate long-term visual outcome of arteriovenous adventitial sheathotomy in BRVO-induced macular edema. Methods: The visual outcomes of 8 patients following vitrectomy with arteriovenous adventitial sheathotomy for BVO-induced macular edema (surgery group) were retrospectively evaluated. The three‐year post-operative visual acuity of the surgery group was compared with that of the conservatively managed controls. Results: All patients were followed for a minimum of 36 months. Mean BCVA (logMAR) in the surgery group changed from 1.10±0.34 to 1.19±0.70 and to 0.80±0.36 at 12 and 36 months, respectively (p=0.959 at 12 months, p=0.018 at 36 months). In the control group, visual acuity improved from 1.15±0.43 to 0.43±0.44 and to 0.43±0.39 at 12 and 36 months, respectively (p=0.015 at 12 months, at p=0.003 at 36 months). A strong trend toward better visual acuity at 12 months and final examination was observed for controls. (surgery vs. control group, p=0.052 at 12 months, p=0.066 at 36 months). Conclusions: Considering the favorable natural course of BVO and the unproven effect of reperfusion on macular edema, surgical efficacy of arteriovenous adventitial sheathotomy requires further evaluation.
Abstract
Purpose: To evaluate long-term visual outcome of arteriovenous adventitial sheathotomy in BRVO-induced macular edema. Methods: The visual outcomes of 8 patients following vitrectomy with arteriovenous adventitial sheathotomy for BVO-induced macular edema (surgery group) were retrospectively evaluated. The three‐year post-operative visual acuity of the surgery group was compared with that of the conservatively managed controls. Results: All patients were followed for a minimum of 36 months. Mean BCVA (logMAR) in the surgery group changed from 1.10±0.34 to 1.19±0.70 and to 0.80±0.36 at 12 and 36 months, respectively (p=0.959 at 12 months, p=0.018 at 36 months). In the control group, visual acuity improved from 1.15±0.43 to 0.43±0.44 and to 0.43±0.39 at 12 and 36 months, respectively (p=0.015 at 12 months, at p=0.003 at 36 months). A strong trend toward better visual acuity at 12 months and final examination was observed for controls. (surgery vs. control group, p=0.052 at 12 months, p=0.066 at 36 months). Conclusions: Considering the favorable natural course of BVO and the unproven effect of reperfusion on macular edema, surgical efficacy of arteriovenous adventitial sheathotomy requires further evaluation.
참고문헌 (13)
- 강석재, "망막분지정맥폐쇄에서 황반허혈에 동반된 황반부종의 시력 예후", 대한안과학회지, 43(9), pp.9~1628 (2002), 대한안과학회
- 권오웅, "망막분지정맥폐쇄의 위험인자 및 예후인자", 대한안과학회지, 41(2), pp.418~26 (2002), 대한안과학회
- Branch Vein Occlusion Study Group, "Argon laser photocoagulation for macular edema in branch vein occlusion. The Branch Vein Occlusion Study Group", Am J Ophthalmol, 98, pp.271~82 (1984)
- Charbonnel J, "Management of branch retinal vein occlusion with vitrectomy and arteriovenous adventitial sheathotomy, the possible role of surgical posterior vitreous detachment", Graefes Arch Clin Exp Ophthalmol, 242, pp.223~8 (2004)
- Garcia‐Arumi J, "Management of macular edema in branch retinal vein occlusion with sheathotomy and recombinant tissue plasminogen activator", Retina, 24, pp.530~40 (2004)
- Mason J, "Sheathotomy to decompress branch retinal vein occlusion: a matched control study", Ophthalmology, 111, pp.540~5 (2004)
- Mester U, "Vitrectomy with arteriovenous decompression and internal limiting membrane dissection in branch retinal vein occlusion", Retina, 22, pp.740~6 (2002)
- Osterloh MD, "Surgical decompression of branch retinal vein occlusions", Arch Ophthalmol, 106, pp.1469~71 (1988)
- Yamamoto S, "Vitrectomy with or without arteriovenous adventitial sheathotomy for macular edema associated with branch retinal vein occlusion", Am J Ophthalmol, 138, pp.907~14 (2004)
- Cahill MT, "effect of arteriovenous sheathotomy on cystoid macular oedema secondary to branch retinal vein occlusion", Br J Ophthalmol, 87, pp.1329~32 (2003)
- Chen SD, "Intravitreal triamcinolone for the treatment of ischemic macular edema associated with branch retinal vein occlusion", Am J Ophthalmol, 141, pp.876~83 (2006)
- Opremcak EM, "Surgical decompression of branch retinal vein occlusion via arteriovenous crossing sheathotomy: a prospective review of 15 cases", Retina, 19, pp.1~5 (1999)
- Kumagai K, "Long-term outcomes of vitrectomy with or without arteriovenous sheathotomy in branch retinal vein occlusion", Retina, 27, pp.49~54 (2007)