Arteriovenous adventitial sheathotomy for the treatment of macular edema associated with branch retinal vein occlusion

Am J Ophthalmol. 2000 Jan;129(1):104-6. doi: 10.1016/s0002-9394(99)00287-1.

Abstract

Purpose: To report arteriovenous adventitial sheathotomy for treatment of macular edema associated with branch retinal vein occlusion.

Methods: Case reports with review. Five eyes of five patients with best-corrected visual acuity of less than 20/200 secondary to branch retinal vein occlusion had pars plana vitrectomy and arteriovenous adventitial sheathotomy and were followed postoperatively for a mean of 6.5 years (range, 5 to 7 years).

Results: In four of five eyes, the best-corrected visual acuity improved to 20/30 to 20/70. In the remaining eye, visual acuity remained at finger counting secondary to macular ischemia.

Conclusion: Arteriovenous adventitial sheathotomy may be beneficial for select patients with poor vision secondary to branch retinal vein occlusion.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Arteriovenous Malformations / pathology
  • Arteriovenous Malformations / surgery*
  • Connective Tissue / pathology
  • Connective Tissue / surgery*
  • Decompression, Surgical / methods*
  • Female
  • Fluorescein Angiography
  • Fundus Oculi
  • Humans
  • Macular Edema / etiology
  • Macular Edema / pathology
  • Macular Edema / surgery*
  • Male
  • Middle Aged
  • Ophthalmologic Surgical Procedures
  • Retinal Artery / abnormalities*
  • Retinal Artery / pathology
  • Retinal Vein / abnormalities*
  • Retinal Vein / pathology
  • Retinal Vein Occlusion / complications
  • Retinal Vein Occlusion / pathology
  • Retinal Vein Occlusion / surgery*
  • Visual Acuity
  • Vitrectomy