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The Macula pp 211–220Cite as

Comparative study of vitrectomy with and without vein decompression for branch retinal vein occlusion. A pilot study

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Abstract

Purpose: To prospectively compare results of vein decompression and vitrectomy with hyaloid removal for treating branch retinal vein occlusion (BRVO).

Methods: Thirty-five eyes with macular edema and visual acuity worse than 20/100 secondary to BRVO were included. Vitrectomy with posterior hyaloid removal and vein decompression at the arteriovenous crossing was performed on 15 patients (Group I); same technique without vein decompression was performed on 20 (Group II).

Results: Group I: After mean follow-up of 33 months, VA improved by two lines or more in 13/15 (87%), one line in 1/15 (6.5%) and remained unchanged in 1/15 (6.5%) eyes. Macular edema resolved in 14/15 (93%). No eyes developed new vessels.

Group II. After mean follow-up of 18 months, VA improved two lines or more in 16/20 (80%), remained unchanged in 2/20 (10%) and deteriorated in 2/20 (10%). Macular edema resolved in 16/20 (80%). No new vessels developed. No differences were found between groups in either age (p 0.566) or preoperative visual acuity (p 0.505). Despite a statistically significant difference in the duration of preoperative interval (p 0.004), no differences were found in post-operative visual results (p 0.147), resolution of macular edema (p 0.098) or prevention of neovascularization.

Conclusion: Results suggest that vitrectomy with posterior hyaloid removal without vein decompression can resolve macular edema, improve visual acuity and prevent development of new vessels in BRVO.

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References

  1. Mitchell P, Smith W, Chang A (1996) Prevalence and association of retinal vein occlusion in Australia. The Blue Mountains Eye Study. Arch Ophthalmol 114: 1243–7

    Google Scholar 

  2. Fryczkowski AW, Sato SE (1987) Scanning electron microscopy evaluation of arteriovenous crossing phenomenon. Contemp Ophthalmic Forum 5: 184–92

    Google Scholar 

  3. Duker JS, Brown GC (1989) Anterior location of the crossing artery in branch retinal vein occlusion. Arch Ophthalmol 107: 998–1000

    Article  PubMed  CAS  Google Scholar 

  4. Weinberg D, Dodwell DG, Fern SA (1990) Anatomy of arteriovenous crossing in branch retinal vein occlusion. Am J Ophthalmol 109: 298–302

    PubMed  CAS  Google Scholar 

  5. Rabinowicz IM, Litman S, Michaelson IC (1969) Branch venous thrombosis — a pathological report. Trans Ophthalmol Soc UK 88: 191–210

    PubMed  CAS  Google Scholar 

  6. Staurenghi G, Lonati Ch, Aschero M, Orzalesi N (1994) Arteriovenous crossing as a risk factor in branch retinal vein occlusion. Am J Ophthalmol 117: 211–13

    Google Scholar 

  7. Kumar B, Yu D, Morgan WH, et al (1998) The distribution of the angioarchitectural changes within the vicinity of arteriovenous crossing in branch retinal vein occlusion. Ophthalmology 105: 424–7

    Article  Google Scholar 

  8. Argon laser photocoagulation for macular edema in branch vein occlusion. The Branch Vein Occlusion Study Group (1984). Am J Ophthalmol 98: 271–82

    Article  Google Scholar 

  9. Argon laser scatter photocoagulation for prevention of neovascularization and vitreous hemorrhage in branch vein occlusion. A randomised clinical trial. The Branch Vein Occlusion Study Group (1986) 104: 34–41

    Google Scholar 

  10. Osterloh MD, Charles S (1988) Surgical decompression of branch retinal vein occlusion. Arch Ophthalmol 106: 1469–71

    Article  Google Scholar 

  11. Opremcak EM, Bruce RA (1999) Surgical decompression of branch retinal vein occlusion via arteriovenous crossing sheathotomy. Retina 19: 1–5

    Article  PubMed  CAS  Google Scholar 

  12. Shah GK, Sharma S, Fineman MS, et al (2000) Arteriovenous adventitial sheathotomy for the treatment of macular edema associated with branch retinal vein occlusion. Am J Ophthalmol 129: 104–6

    Article  PubMed  CAS  Google Scholar 

  13. Mester U, Dillinger P (2001) Treatment of retinal vein occlusion. Vitrectomy with arteriovenous decompression and dissection of the internal limiting membrane. Opthalmologe 98: 1104–9

    Google Scholar 

  14. Dotrelova D, Dubska Z, Kuthan P, Stepankova J (2001) Initial experience with surgical decompression of the vein in branch retinal vein occlusion. Cesk Slov Oftalmol 57: 359–66

    Google Scholar 

  15. Le Rouic JF, Bejjani RA, Rumen F, et al (2001) Adventitial sheathotomy for decompression of recent onset branch retinal vein occlusion. Graefes Arch Clin Exp Ophthalmol 239: 747–51

    Google Scholar 

  16. Tachi N, Hashimoto Y, Ogino N (1999) Vitrectomy for macular edema combined with retinal occlusion. Documenta Ophthalmologica 97: 465–9

    Google Scholar 

  17. Saika S, Tanaka T, Miyamoto T, Ohnishi Y (2001) Surgical posterior vitreous detachment combined with gas/air tamponade for treating macular edema associated with retinal vein occlusion: retinal tomography and visual outcome. Graefes Arch Clin Exp Ophthalmol 239: 729–32

    Google Scholar 

  18. Finkelstein D (1992) Ischemic macular edema. Recognition and favorable natural history in branch vein occlusion. Arch Ophthalmol 110: 1427–34

    Article  Google Scholar 

  19. Fekrat S, Goldberg M, Finkelstein D (1998) Laser-induced chorioretinal venous anastomosis for nonischemic central or branch vein occlusion. Arch Ophthalmol 116: 43–52

    PubMed  CAS  Google Scholar 

  20. Eccarius SG, Moran MJ, Slingsby JG (1996) Choroidal neovascular membrane after laser-induced chorioretinal anastomosis. Am J Ophthalmol 122: 590–1

    Google Scholar 

  21. Yarng S-S, Hsieh C-L (1996) Chorioretinal neovascularization following laser-induced chorioretinal venous anastomosis. Ophthalmology 103: 136

    Google Scholar 

  22. Browning DJ, Rotberg MH (1996) Vitreous hemorrhage complicating laser-induced chorioretinal anastomosis for central retinal vein occlusion. Am J Ophthalmol 122: 588–9

    Google Scholar 

  23. Luttrull JK (1997) Epiretinal membrane and traction retinal detachment complicating laser-induced chorioretinal venous anastomosis. Am J Ophthalmol 123: 698–9

    Google Scholar 

  24. Minamikawa M, Yamamoto K, Okuma H (1993) Experimental retinal branch vein occlusion. 4. Pathological changes in the middle and late stage. Nippon Ganka Gakkai Zasshi 97: 920–7

    Google Scholar 

  25. Stefânsson E, Novack RL, Hatchell DL (1990) Vitrectomy prevents retinal hypoxia in branch retinal vein occlusion. Invest Ophthalmol Vis Sci 31: 284–9

    Google Scholar 

  26. Arnarsson A, Stefânsson E (2000) Laser treatment and the mechanism of edema reduction in branch retinal vein occlusion. Invest Ophthalmol Vis Sci 41: 877–9

    Google Scholar 

  27. Peer J, Folberg R, Itin A, et al (1998) Vascular endothelial growth factor up regulation in human central retinal vein occlusion. Ophthalmology 105: 412–16.

    Google Scholar 

  28. Amin RH, Frank RN, Kennedy A, et al (1997) Vascular endothelial growth factor is present in the glial cells of the retina and optic nerve of human subjects with nonproliferative diabetic retinopathy. Invest Ophthalmol Vis Sci 38: 36–47

    PubMed  CAS  Google Scholar 

  29. Funatsu H, Yamashita H, Ikeda T, et al (2002) Angiotensin II and vascular endothelial growth factor in the vitreous fluid of patients with diabetic macular edema and other retinal disorders. Am J Ophthalmol 133: 537–43

    Google Scholar 

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Authors and Affiliations

  1. VitreoRetinal Department, Hospital Oftalmológico Internacional, Santa Hortensia 58, E-28002, Madrid, Spain

    Marta S. Figueroa M.D., PhD. (Director)

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  1. Marta S. Figueroa M.D., PhD.
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Correspondence to Marta S. Figueroa M.D., PhD. .

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Editors and Affiliations

  1. The Ludwig Boltzmann Institute of Retinology and Biomicroscopic Laser Surgery, Department of Ophthalmology, Rudolf Foundation Clinic, Vienna, Austria

    Susanne Binder

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© 2004 Springer-Verlag/Wien

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Figueroa, M.S. (2004). Comparative study of vitrectomy with and without vein decompression for branch retinal vein occlusion. A pilot study. In: Binder, S. (eds) The Macula. Springer, Vienna. https://doi.org/10.1007/978-3-7091-7985-7_25

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  • DOI: https://doi.org/10.1007/978-3-7091-7985-7_25

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-7987-1

  • Online ISBN: 978-3-7091-7985-7

  • eBook Packages: Springer Book Archive

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