Purpose To describe the treatment of macular oedema secondary to branch retinal vein occlusion (BRVO) with concomitant pars plana vitrectomy/arteriovenous sheathotomy and intraoperative intravitreal triamcinolone acetonide.
Methods Retrospective case series.
Results Four eyes of four patients were identified. Patients improved from a mean best-corrected visual acuity of 20/124 at baseline to 20/122 at month 1, 20/83 at month 3, 20/74 at month 6, 20/59 at month 9 and 20/44 at month 12 (p=0.01). All patients demonstrated improvement in visual acuity and macular oedema on fluorescein angiography and/or optical coherence tomography (OCT).
Conclusion For patients with persistent macular oedema due to BRVO refractory to pharmacotherapy and/or laser photocoagulation, concomitant pars plana vitrectomy with arteriovenous sheathotomy and intravitreal triamcinolone may improve best-corrected acuity and reduce macular oedema on fluorescein angiography and OCT.
- triamcinolone acetonide
- treatment surgery
- vein occlusion
Statistics from Altmetric.com
Funding This study was supported by unrestricted funds from Research to Prevent Blindness, 645 Madison Avenue, Floor 21, New York, NY 10022-1010, USA.
Competing interests None declared.
Ethics approval This study was conducted with the approval of the New York Presbyterian Hospital Institutional Review Board.
Provenance and peer review Not commissioned; externally peer reviewed.