Combined radial optic neurotomy, internal limiting membrane peeling, and intravitreal triamcinolone acetonide for central retinal vein occlusion.

Abstract

To evaluate the efficacy of radial optic neurotomy, internal limiting membrane peeling, and intravitreal triamcinolone acetonide for central retinal vein occlusion. Eight consecutive eyes with central retinal vein occlusion with a duration of less than 6 months, cystoid macular edema, and best-corrected visual acuity (BCVA) of less than 20/200 were enrolled. BCVA, intraocular pressure, fluorescein angiography, and optical coherence tomography were evaluated. After 4.75 +/- 0.7 months, BCVA significantly improved, intraocular pressure was well controlled, and fluorescein angiography showed perfused state and reduction of the number of retinal hemorrhages in all eyes. Optical coherence tomography revealed significant reduction of macular thickness. Bleeding in the neurotomy site occurred in 3 cases. Radial optic neurotomy, internal limiting membrane peeling, and intravitreal triamcinolone acetonide may be useful in the management of central retinal vein occlusion with macular edema.

• Authors: Claudio Furino, Tommaso Micelli Ferrari, Francesco Boscia, Nicola Cardascia, Luigi Sborgia, Michele Reibaldi, Paolo Ferreri, Carlo Sborgia
• Journal: Ophthalmic surgery, lasers & imaging : the official journal of the International Society for Imaging in the Eye (Ophthalmic Surg Lasers Imaging) 2005 Sep-Oct Vol. 36 Issue 5 Pg. 422-5 ISSN: 1542-8877 [Print] United States
• PMID: 16238044 (Publication Type: Journal Article)

Chemical References

• Glucocorticoids
• Triamcinolone Acetonide

Topics

• Aged
• Basement Membrane (surgery)
• Combined Modality Therapy
• Decompression, Surgical (methods)
• Fluorescein Angiography
• Glucocorticoids (therapeutic use)
• Humans
• Injections
• Macular Edema (drug therapy, etiology, surgery)
• Middle Aged
• Optic Nerve (surgery)
• Retinal Vein Occlusion (complications, drug therapy, surgery)
• Tomography, Optical Coherence
• Triamcinolone Acetonide (therapeutic use)
• Visual Acuity
• Vitrectomy
• Vitreous Body