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Clinical science
Combined arteriovenous sheathotomy and intraoperative intravitreal triamcinolone acetonide for branch retinal vein occlusion
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  1. John C Hwang,
  2. Susan K Gelman,
  3. Howard F Fine,
  4. Stanley Chang,
  5. Lucian V Del Priore
  1. Edward S Harkness Eye Institute, Columbia University Medical Center, New York, New York, USA
  1. Correspondence to Dr Stanley Chang, Edward S Harkness Eye Institute, Columbia University Medical Center, 635 West 165th Street, New York, NY 10032, USA; sc433{at}columbia.edu

Abstract

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.

  • Retina
  • sheathotomy
  • triamcinolone acetonide
  • treatment surgery
  • vein occlusion

https://doi.org/10.1136/bjo.2009.167270

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    Footnotes

    • 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.

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