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Embolectomy for branch retinal arterial occlusion.

Publication ,  Journal Article
Ramchandran, RS; Fekrat, S
Published in: Retin Cases Brief Rep
2010

PURPOSE: To report one surgeon's experience in treating a case of branch retinal artery occlusion with pars plana vitrectomy and surgical removal of the etiologic retinal arterial embolus. METHODS: Single case presentation of pre- and postoperative visual acuity data, fluorescein angiography, and optical coherence tomography studies of one eye undergoing pars plana vitrectomy and retinal arterial embolectomy. RESULTS: Attempted embolectomy was unsuccessful in removing the retinal arterial embolus. Intraoperatively, the embolus traveled retrograde back into the central retinal artery when the infusion bottle was raised to maximum height. On postoperative Day 1, the embolus had returned to its preoperative position. However, postoperative arterial perfusion improved, as evidenced by fluorescein angiography, and macular edema was improved on the first postoperative day, as documented on optical coherence tomography. Visual acuity improved from 20/80 preoperatively to 20/32 at 1 month and to 20/20 at 9 months postoperatively, even though the affected retinal tissue had markedly thinned. CONCLUSION: This single case illustrates our experience with the vitreous surgical techniques of embolus extraction in an eye with a branch retinal artery occlusion and an ophthalmoscopically visible embolus.

Duke Scholars

Published In

Retin Cases Brief Rep

DOI

ISSN

1935-1089

Publication Date

2010

Volume

4

Issue

2

Start / End Page

116 / 119

Location

United States

Related Subject Headings

  • 3212 Ophthalmology and optometry
  • 1113 Opthalmology and Optometry
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Ramchandran, R. S., & Fekrat, S. (2010). Embolectomy for branch retinal arterial occlusion. Retin Cases Brief Rep, 4(2), 116–119. https://doi.org/10.1097/ICB.0b013e31819bfa1b
Ramchandran, Rajeev S., and Sharon Fekrat. “Embolectomy for branch retinal arterial occlusion.Retin Cases Brief Rep 4, no. 2 (2010): 116–19. https://doi.org/10.1097/ICB.0b013e31819bfa1b.
Ramchandran RS, Fekrat S. Embolectomy for branch retinal arterial occlusion. Retin Cases Brief Rep. 2010;4(2):116–9.
Ramchandran, Rajeev S., and Sharon Fekrat. “Embolectomy for branch retinal arterial occlusion.Retin Cases Brief Rep, vol. 4, no. 2, 2010, pp. 116–19. Pubmed, doi:10.1097/ICB.0b013e31819bfa1b.
Ramchandran RS, Fekrat S. Embolectomy for branch retinal arterial occlusion. Retin Cases Brief Rep. 2010;4(2):116–119.

Published In

Retin Cases Brief Rep

DOI

ISSN

1935-1089

Publication Date

2010

Volume

4

Issue

2

Start / End Page

116 / 119

Location

United States

Related Subject Headings

  • 3212 Ophthalmology and optometry
  • 1113 Opthalmology and Optometry