The Efficacy of Arteriovenous Adventitial Sheathotomy for Macular Edema in Branch Retinal Vein Occlusion

Accession number;04A0260992
Title;The Efficacy of Arteriovenous Adventitial Sheathotomy for Macular Edema in Branch Retinal Vein Occlusion
Author; FUJIMOTO RYUTARO (Hoshiigankaiin) OGINO NOBUCHIKA (Shinjo Ganka Iin) KUMAGAI KAZUYUKI (Shinjo Ganka Iin) DEMIZU SEIJI (Shinjo Ganka Iin) FURUKAWA MARIKO (Sogo Kmi-Iida Daiichi Byoin)
Journal Title;Journal of Japanese Ophthalmological Society
Journal Code:Z0666A
ISSN:0029-0203
VOL.108;NO.3;PAGE.144-149(2004)
Figure&Table&Reference;FIG.2, TBL.4, REF.27
Pub. Country;Japan
Language;Japanese
Abstract;Purpose: To examine the efficacy of arteriovenous adventitial sheathotomy (or arteriovenous decompression) for macular edema (ME) in branch retinal vein occlusion (BRVO). Patients and Methods: Eighty-three patients (83 eyes) who had ME in BRVO for 26 weeks or less underwent pars plana vitrectomy and internal limiting membrane dissection and were followed postoperatively for more than one year. The eightythree eyes were divided into 38 eyes with sheathotomy (sheathotomy group) and 45 eyes without sheathotomy (non-shesthotomy group). The absorption period for ME and the difference between preand postoperative visual acuity (VA) at one year in the two groups were compared, and statistically significant factors were extracted. Results: The mean absorption period for ME was 3.4 months in the sheathotomy group and 4.2 months in the non-sheathotomy group, and the mean difference between pre- and postoperative VA at one year was 0.37 and 0.28, respectively. There was no significant difference between the two groups. There was no significant factor related to the absorption period for ME, but the difference between preoperative VA and postoperative VA at one year was significant. Conclusion: Sheathotomy may have no additional effect on the absorption of ME or the improvement of VA after vitrectomy for BRVO. (author abst.)
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