• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>British journal of ophthalmology >The effect of arteriovenous sheathotomy on cystoid macular oedema secondary to branch retinal vein occlusion.
【24h】

The effect of arteriovenous sheathotomy on cystoid macular oedema secondary to branch retinal vein occlusion.

机译：动静脉鞘膜切开术对继发于视网膜分支静脉阻塞的黄斑囊样水肿的影响。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND: Arteriovenous (AV) sheathotomy, a potential treatment for branch retinal vein occlusion (BVO), surgically separates retinal vessels at an AV crossing. Relief of the aetiological obstruction, with resolution of cystoid macular oedema (CMO), may result in improved visual acuity. METHODS: A retrospective review of consecutive cases of AV sheathotomy for BVO was undertaken. Eyes were categorised as having resolution (group 1), reduction (group 2), or persistence (group 3) of CMO. Intergroup comparisons were made with regard to preoperative, intraoperative, and postoperative parameters. Preoperative and postoperative visual acuities were compared within each group. RESULTS: Of the 27 eyes identified, eight (29.6%) had resolution, 14 (51.8%) had reduction, and five (18.6%) had persistence of CMO. Median preoperative visual acuity was similar in all groups (1.0, 1.0, 1.3, respectively; p = 0.29). Overall median follow up was 12.0 months (Q1 = 12.0, Q2 = 22.5). Eyes in group 1 had significantly better median postoperative visual acuity than eyes in groups 2 and 3 (0.6, 1.0, 2.0 respectively; p = 0.01). A significantly higher proportion of eyes in group 1 had visual acuity improvement compared with eyes in the other groups (87.5% v 35.7% and 20.0%; p = 0.03). Median postoperative visual acuity was significantly better than median preoperative visual acuity in group 1 eyes only (p = 0.02). A higher percentage of group 1 eyes had evidence of postoperative retinal perfusion (83.0% v 21.43% and 40.0%; p = 0.16). Postoperative retinal detachment occurred in three eyes (11.1%). CONCLUSION: Complete resolution of CMO after AV sheathotomy occurred in one third of patients, and postoperative vision improved significantly in this group. However, in the majority of cases, despite an improvement in CMO, there was no improvement in vision after AV sheathotomy.
机译：背景：动静脉（AV）鞘膜切开术是视网膜分支静脉阻塞（BVO）的一种潜在治疗方法，它通过手术在AV交叉处分离视网膜血管。缓解病因梗阻以及黄斑囊样水肿（CMO）可以缓解视力。方法：回顾性分析连续性BVO静脉鞘膜切开术的病例。眼睛被分类为具有CMO的分辨率（第1组），减少（第2组）或持久性（第3组）。在术前，术中和术后参数方面进行组间比较。比较各组的术前和术后视力。结果：在确定的27眼中，有8眼（29.6％）可以消退，有14眼（51.8％）可以消退，有5眼（18.6％）的CMO持续存在。术前中位视力在所有组中相似（分别为1.0、1.0、1.3; p = 0.29）。总体中位随访时间为12.0个月（第一季度= 12.0，第二季度= 22.5）。第1组的眼睛的中位术后视敏度明显高于第2和第3组的眼睛（分别为0.6、1.0、2.0; p = 0.01）。与其他组的眼睛相比，第1组的眼睛的视力明显提高（87.5％对35.7％和20.0％; p = 0.03）。仅第1组眼睛的中位术后视力显着优于中位术前视力（p = 0.02）。第一组的眼睛中有较高百分比的证据表明术后进行了视网膜灌注（83.0％对21.43％和40.0％; p = 0.16）。术后三只眼发生视网膜脱离（11.1％）。结论：该组中有三分之一的患者发生了AV鞘膜切开术后的CMO完全消退，并且术后视力显着改善。但是，在大多数情况下，尽管CMO有所改善，但AV鞘膜切开术后视力没有改善。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号