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Br J Ophthalmol 2006;90:1252-1255 doi:10.1136/bjo.2006.097642
  • Clinical science
    • Scientific reports

Surgical embolus removal in retinal artery occlusion

  1. J García-Arumí1,
  2. V Martinez-Castillo1,
  3. A Boixadera1,
  4. A Fonollosa1,
  5. B Corcostegui2
  1. 1Hospital Vall d’Hebrón, Universidad Autónoma de Barcelona, Barcelona, Spain
  2. 2Instituto de Microcirugía Ocular (IMO), Barcelona
  1. Correspondence to: J García-Arumí Instituto de Microcirugía Ocular, C/Munner no 10, 08022 Barcelona, Spain; 17215jga{at}comb.es
  • Accepted 3 July 2006

Abstract

Aims: To evaluate the anatomical outcomes, safety and functional effectiveness of surgical embolus removal in retinal artery occlusion (RAO).

Methods: Prospective study of seven patients with RAO of <36 h duration. All eyes underwent pars plana vitrectomy and a longitudinal incision of the anterior wall of the occluded arteriole in an attempt to remove the embolus. Outcome measures included visual acuity and arteriolar reperfusion, as evaluated with fluorescein angiography.

Results: Surgical removal of the embolus was achieved in six of the seven (87.5%) patients, visual acuity improved from a median of 20/400 (range: hand movements 20/25) to 20/40 (range: hand movements 20/25), and reperfusion of the occluded vessel was angiographically confirmed in four of the six patients in whom the embolus was successfully removed.

Conclusion: Surgical removal of retinal arterial emboli seems to be an effective and safe treatment for RAO, but a randomised and controlled clinical trial will be necessary to establish an evidence base for the role, if any, of this intervention.

Footnotes

  • Competing interests: None declared.

  • This study was presented in part at the Subspecialty Day at the Annual Meeting of the American Academy of Ophthalmology, Chicago, Illinois, USA, in October 2005.

Responses to this article

  • Surgical embolus removal in retinal artery occlusion
    • Sohan S Hayreh
    Br J Ophthalmol published online September 14, 2009

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