Long-term Visual Outcome of Arteriovenous Adventitial Sheathotomy on Branch Retinal Vein Occlusion Induced Macular Edema

• Published in: Korean journal of ophthalmology Vol. 22; no. 1; pp. 1 - 5
• Main Authors: Oh, In Kyung, Kim, Sungwoo, Oh, Jaeryung, Huh, Kuhl
• Format: Journal Article
• Language: English
• Published: Korea (South) The Korean Ophthalmological Society 01.03.2008; 대한안과학회
• Subjects: Aged; Connective Tissue - surgery; Decompression, Surgical - methods; Female; Humans; Macular Edema - etiology; Macular Edema - physiopathology; Macular Edema - surgery; Male; Middle Aged; Original; Retinal Artery; Retinal Vein; Retinal Vein Occlusion - complications; Retinal Vein Occlusion - physiopathology; Retinal Vein Occlusion - surgery; Retrospective Studies; Treatment Outcome; Visual Acuity - physiology; Vitrectomy - methods; 안과학
• ISSN: 1011-8942; 2092-9382; 2092-9382
• DOI: 10.3341/kjo.2008.22.1.1

To evaluate long-term visual outcome of arteriovenous adventitial sheathotomy in BRVO-induced macular edema. The visual outcomes of 8 patients following vitrectomy with arteriovenous adventitial sheathotomy for BVO-induced macular edema (surgery group) were retrospectively evaluated. The three-year post-operative visual acuity of the surgery group was compared with that of the conservatively managed controls. All patients were followed for a minimum of 36 months. Mean BCVA (logMAR) in the surgery group changed from 1.10+/-0.34 to 1.19+/-0.70 and to 0.80+/-0.36 at 12 and 36 months, respectively (p=0.959 at 12 months, p=0.018 at 36 months). In the control group, visual acuity improved from 1.15+/-0.43 to 0.43+/-0.44 and to 0.43+/-0.39 at 12 and 36 months, respectively (p=0.015 at 12 months, at p=0.003 at 36 months). A strong trend toward better visual acuity at 12 months and final examination was observed for controls. (surgery vs. control group, p=0.052 at 12 months, p=0.066 at 36 months). Considering the favorable natural course of BVO and the unproven effect of reperfusion on macular edema, surgical efficacy of arteriovenous adventitial sheathotomy requires further evaluation.