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Laser-induced chorioretinal venous anastomosis for nonischemic central or branch retinal vein occlusion.

Publication ,  Journal Article
Fekrat, S; Goldberg, MF; Finkelstein, D
Published in: Arch Ophthalmol
January 1998

OBJECTIVE: To establish a communication between an obstructed retinal vein and the choroid by means of laser in eyes with nonischemic central or branch vein occlusion. METHODS: Retrospective review identified eyes with nonischemic central or branch vein occlusion, and with decreasing or persistently decreased visual acuity of 20/100 or worse for 4 months or more before treatment, that received 1 or more sessions of laser photocoagulation to create a chorioretinal anastomosis. RESULTS: Of 24 eyes with central vein occlusion, an anastomosis formed in 9 (38%) within 2 months after treatment, with visual improvement of 6 or more lines in 2 (8%) of 24 eyes, 1 to 3 lines in 5 (21%), and no improvement in 2 (8%). Of 6 eyes with branch vein occlusion, an anastomosis formed in 3 (50%) within 2 months after treatment, with visual improvement of 1 to 3 lines in 2 (33%) of 6 and no improvement in 1 (16%). No permanent, vision-limiting complications occurred during a mean follow-up of 13 months after the first treatment session or 8 months after the last session. CONCLUSIONS: Laser photocoagulation of a retinal vein and Bruch's membrane may create a chorioretinal anastomosis in some eyes with a nonischemic vein occlusion. Progression to an ischemic status may possibly be prevented with successful anastomosis formation. Marked visual improvement may occur. Treatment techniques to create reliably an anastomosis with subsequent visual improvement, while minimizing potential complications, continue to evolve.

Duke Scholars

Published In

Arch Ophthalmol

DOI

ISSN

0003-9950

Publication Date

January 1998

Volume

116

Issue

1

Start / End Page

43 / 52

Location

United States

Related Subject Headings

  • Visual Acuity
  • Treatment Outcome
  • Retrospective Studies
  • Retinal Vein Occlusion
  • Retinal Vein
  • Ophthalmology & Optometry
  • Middle Aged
  • Male
  • Laser Coagulation
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Fekrat, S., Goldberg, M. F., & Finkelstein, D. (1998). Laser-induced chorioretinal venous anastomosis for nonischemic central or branch retinal vein occlusion. Arch Ophthalmol, 116(1), 43–52. https://doi.org/10.1001/archopht.116.1.43
Fekrat, S., M. F. Goldberg, and D. Finkelstein. “Laser-induced chorioretinal venous anastomosis for nonischemic central or branch retinal vein occlusion.Arch Ophthalmol 116, no. 1 (January 1998): 43–52. https://doi.org/10.1001/archopht.116.1.43.
Fekrat S, Goldberg MF, Finkelstein D. Laser-induced chorioretinal venous anastomosis for nonischemic central or branch retinal vein occlusion. Arch Ophthalmol. 1998 Jan;116(1):43–52.
Fekrat, S., et al. “Laser-induced chorioretinal venous anastomosis for nonischemic central or branch retinal vein occlusion.Arch Ophthalmol, vol. 116, no. 1, Jan. 1998, pp. 43–52. Pubmed, doi:10.1001/archopht.116.1.43.
Fekrat S, Goldberg MF, Finkelstein D. Laser-induced chorioretinal venous anastomosis for nonischemic central or branch retinal vein occlusion. Arch Ophthalmol. 1998 Jan;116(1):43–52.

Published In

Arch Ophthalmol

DOI

ISSN

0003-9950

Publication Date

January 1998

Volume

116

Issue

1

Start / End Page

43 / 52

Location

United States

Related Subject Headings

  • Visual Acuity
  • Treatment Outcome
  • Retrospective Studies
  • Retinal Vein Occlusion
  • Retinal Vein
  • Ophthalmology & Optometry
  • Middle Aged
  • Male
  • Laser Coagulation
  • Humans