Treatment of macular edema due to retinal vein occlusions

Roomasa Channa, Michael Smith, Peter A CampochiaroDepartments of Ophthalmology and Neuroscience, The Johns Hopkins University School of Medicine, Baltimore, MD, USA Abstract: Retinal vein occlusion (RVO) is a prevalent retinal vascular disease, second only to diabetic retinopathy. Previously there w...

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Autores principales: Channa R, Smith M, Campochiaro P
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Publicado: Dove Medical Press 2011
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spelling oai:doaj.org-article:320278310e2944ee85090841034f2dbf2021-12-02T06:37:21ZTreatment of macular edema due to retinal vein occlusions1177-54671177-5483https://doaj.org/article/320278310e2944ee85090841034f2dbf2011-05-01T00:00:00Zhttp://www.dovepress.com/treatment-of-macular-edema-due-to-retinal-vein-occlusions-a7511https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Roomasa Channa, Michael Smith, Peter A CampochiaroDepartments of Ophthalmology and Neuroscience, The Johns Hopkins University School of Medicine, Baltimore, MD, USA Abstract: Retinal vein occlusion (RVO) is a prevalent retinal vascular disease, second only to diabetic retinopathy. Previously there was no treatment for central retinal vein occlusion (CRVO) and patients were simply observed for the development of severe complications, generally resulting in poor visual outcomes. The only treatment for branch vein occlusion (BRVO) was grid laser photocoagulation, which reduces edema very slowly and provides benefit in some, but not all patients. Within the past year, clinical trials have demonstrated the effects of three new pharmacologic treatments, ranibizumab, triamcinolone acetonide, and dexamethasone implants. The benefit/risk ratio is best for intraocular injections of ranibizumab, making this first-line therapy for most patients with CRVO or BRVO, while intraocular steroids are likely to play adjunctive roles. Standard care for patients with RVO has changed and will continue to evolve as results with other new agents are revealed.Keywords: vascular endothelial growth factor, triamcinolone acetonide, dexamethosone implant, sustained release, vascular leakage, ischemiaChanna RSmith MCampochiaro PDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2011, Iss default, Pp 705-713 (2011)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Channa R
Smith M
Campochiaro P
Treatment of macular edema due to retinal vein occlusions
description Roomasa Channa, Michael Smith, Peter A CampochiaroDepartments of Ophthalmology and Neuroscience, The Johns Hopkins University School of Medicine, Baltimore, MD, USA Abstract: Retinal vein occlusion (RVO) is a prevalent retinal vascular disease, second only to diabetic retinopathy. Previously there was no treatment for central retinal vein occlusion (CRVO) and patients were simply observed for the development of severe complications, generally resulting in poor visual outcomes. The only treatment for branch vein occlusion (BRVO) was grid laser photocoagulation, which reduces edema very slowly and provides benefit in some, but not all patients. Within the past year, clinical trials have demonstrated the effects of three new pharmacologic treatments, ranibizumab, triamcinolone acetonide, and dexamethasone implants. The benefit/risk ratio is best for intraocular injections of ranibizumab, making this first-line therapy for most patients with CRVO or BRVO, while intraocular steroids are likely to play adjunctive roles. Standard care for patients with RVO has changed and will continue to evolve as results with other new agents are revealed.Keywords: vascular endothelial growth factor, triamcinolone acetonide, dexamethosone implant, sustained release, vascular leakage, ischemia
format article
author Channa R
Smith M
Campochiaro P
author_facet Channa R
Smith M
Campochiaro P
author_sort Channa R
title Treatment of macular edema due to retinal vein occlusions
title_short Treatment of macular edema due to retinal vein occlusions
title_full Treatment of macular edema due to retinal vein occlusions
title_fullStr Treatment of macular edema due to retinal vein occlusions
title_full_unstemmed Treatment of macular edema due to retinal vein occlusions
title_sort treatment of macular edema due to retinal vein occlusions
publisher Dove Medical Press
publishDate 2011
url https://doaj.org/article/320278310e2944ee85090841034f2dbf
work_keys_str_mv AT channar treatmentofmacularedemaduetoretinalveinocclusions
AT smithm treatmentofmacularedemaduetoretinalveinocclusions
AT campochiarop treatmentofmacularedemaduetoretinalveinocclusions
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