Vitrectomy for macular edema due to retinal vein occlusion

Kazuyuki Kumagai,1 Nobuchika Ogino,2 Marie Fukami,1 Mariko Furukawa11Kami-iida Daiichi General Hospital, Aichi, Japan; 2Shinjo Ophthalmologic Institute, Miyazaki, JapanPurpose: To determine the long-term outcomes of vitrectomy for the macular edema associated with a retinal vein occlusion (RVO).Meth...

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Autores principales:	Kumagai K, Ogino N, Fukami M, Furukawa M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	retinal vein occlusion vitrectomy macular edema internal limiting membrane Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/2bc341b2e8904b769aa7e24e0b775b27
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spelling	oai:doaj.org-article:2bc341b2e8904b769aa7e24e0b775b272021-12-02T06:35:55ZVitrectomy for macular edema due to retinal vein occlusion1177-5483https://doaj.org/article/2bc341b2e8904b769aa7e24e0b775b272019-06-01T00:00:00Zhttps://www.dovepress.com/vitrectomy-for-macular-edema-due-to-retinal-vein-occlusion-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Kazuyuki Kumagai,1 Nobuchika Ogino,2 Marie Fukami,1 Mariko Furukawa11Kami-iida Daiichi General Hospital, Aichi, Japan; 2Shinjo Ophthalmologic Institute, Miyazaki, JapanPurpose: To determine the long-term outcomes of vitrectomy for the macular edema associated with a retinal vein occlusion (RVO).Methods: This was a retrospective, consecutive, interventional case series. The intraoperative procedures included internal limiting membrane peeling, arteriovenous sheathotomy, radial optic neurotomy, and intravitreal triamcinolone acetonide injection at the end of the surgery. The main outcome was the best-corrected visual acuity (BCVA).Results: Eight hundred and fifty-four eyes of 854 patients were studied. The eyes consisted of 602 with branch RVO (BRVO), 74 with hemi-central RVO (hemi-CRVO), 87 with nonischemic central retinal vein occlusion (CRVO), and 91 with ischemic CRVO. The mean follow-up period was 68.6 months with a range of 12 to 262 months. The mean BCVA was significantly improved at the final visit (P<0.0001 to 0.0016). The final BCVA improved in 74.4% of the BRVO eyes, in 58.1% of the hemi-CRVO eyes, in 57.4% of the nonischemic CRVO eyes, and in 51.6% of the ischemic CRVO eyes. Multiple regression analysis showed there was no significant relationship between the intraoperative combined procedures and the final BCVA.Conclusions: The results indicate that the type of RVO is significantly associated with the final BCVA, and vitrectomy is a treatment option to improve and maintain BCVA for a long term.Keywords: retinal vein occlusion, vitrectomy, macular edema, internal limiting membraneKumagai KOgino NFukami MFurukawa MDove Medical Pressarticleretinal vein occlusionvitrectomymacular edemainternal limiting membraneOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 13, Pp 969-984 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	retinal vein occlusion vitrectomy macular edema internal limiting membrane Ophthalmology RE1-994
spellingShingle	retinal vein occlusion vitrectomy macular edema internal limiting membrane Ophthalmology RE1-994 Kumagai K Ogino N Fukami M Furukawa M Vitrectomy for macular edema due to retinal vein occlusion
description	Kazuyuki Kumagai,1 Nobuchika Ogino,2 Marie Fukami,1 Mariko Furukawa11Kami-iida Daiichi General Hospital, Aichi, Japan; 2Shinjo Ophthalmologic Institute, Miyazaki, JapanPurpose: To determine the long-term outcomes of vitrectomy for the macular edema associated with a retinal vein occlusion (RVO).Methods: This was a retrospective, consecutive, interventional case series. The intraoperative procedures included internal limiting membrane peeling, arteriovenous sheathotomy, radial optic neurotomy, and intravitreal triamcinolone acetonide injection at the end of the surgery. The main outcome was the best-corrected visual acuity (BCVA).Results: Eight hundred and fifty-four eyes of 854 patients were studied. The eyes consisted of 602 with branch RVO (BRVO), 74 with hemi-central RVO (hemi-CRVO), 87 with nonischemic central retinal vein occlusion (CRVO), and 91 with ischemic CRVO. The mean follow-up period was 68.6 months with a range of 12 to 262 months. The mean BCVA was significantly improved at the final visit (P<0.0001 to 0.0016). The final BCVA improved in 74.4% of the BRVO eyes, in 58.1% of the hemi-CRVO eyes, in 57.4% of the nonischemic CRVO eyes, and in 51.6% of the ischemic CRVO eyes. Multiple regression analysis showed there was no significant relationship between the intraoperative combined procedures and the final BCVA.Conclusions: The results indicate that the type of RVO is significantly associated with the final BCVA, and vitrectomy is a treatment option to improve and maintain BCVA for a long term.Keywords: retinal vein occlusion, vitrectomy, macular edema, internal limiting membrane
format	article
author	Kumagai K Ogino N Fukami M Furukawa M
author_facet	Kumagai K Ogino N Fukami M Furukawa M
author_sort	Kumagai K
title	Vitrectomy for macular edema due to retinal vein occlusion
title_short	Vitrectomy for macular edema due to retinal vein occlusion
title_full	Vitrectomy for macular edema due to retinal vein occlusion
title_fullStr	Vitrectomy for macular edema due to retinal vein occlusion
title_full_unstemmed	Vitrectomy for macular edema due to retinal vein occlusion
title_sort	vitrectomy for macular edema due to retinal vein occlusion
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/2bc341b2e8904b769aa7e24e0b775b27
work_keys_str_mv	AT kumagaik vitrectomyformacularedemaduetoretinalveinocclusion AT oginon vitrectomyformacularedemaduetoretinalveinocclusion AT fukamim vitrectomyformacularedemaduetoretinalveinocclusion AT furukawam vitrectomyformacularedemaduetoretinalveinocclusion
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Vitrectomy for macular edema due to retinal vein occlusion

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