A Case of Central Retinal Vein Occlusion Forming the Epiretinal Membrane.

Accession number;99A0286431
Title;A Case of Central Retinal Vein Occlusion Forming the Epiretinal Membrane.
Author; OKITA TAKAHIDE (Shiritsufukuchiyamashiminbyoin) IKEDA TSUNEHIKO (Kyoto Prefect. Univ. of Med.) MATSUMOTO YASUHIRO (Kyoto Prefect. Univ. of Med.) NAKAJIMA NOBUKO (Baputesutobyoin) KINOSHITA SHIGERU (Kyoto Prefect. Univ. of Med.)
Journal Title;Journal of Japanese Ophthalmological Society
Journal Code:Z0666A
ISSN:0029-0203
VOL.103;NO.2;PAGE.144-148(1999)
Figure&Table&Reference;FIG.5, REF.28
Pub. Country;Japan
Language;Japanese
Abstract;Background: We encountered a patient with central retinal vein occlusion(CRVO) forming an epiretinal membrane(ERM) in a wide area. Generally formation of ERM is rare in CRVO. Patient and methods: The patient was a 72-years-old female with ischemic CRVO in the right eye, who had undergone insufficient pan-retinal photocoagulation. Since ERM was formed in a wide area 7 months after the occurrence of CRVO, the patient underwent vitrectomy. Results: Although the patient was elderly, the posterior vitreum had not been detached, and ERM was observed in a wide area from the disk of the optic nerve over the vascular arcade. Since the ERM strongly adhered to the retina, incision of the membrane with vitreous scissors was required. The membrane tissue collected during the operation showed few vascular and cellular components, and consisted of ERM extracellular matrices such as collagen. Conclusions: In this patient, however, it was probable that not only barrier dysfunction of retinal vessel endthelial cells caused by elevated pressure in the retinal vein and rapid retinal ischemia but also the anatomical feature of the undetached posterior vitreum was involved in the formation of the ERM. (author abst.)
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