Resolución espontánea en casos de obstrucción venosa de rama retiniana asociada a edema macular no isquémicoImportancia de un período de espera previo al tratamiento mediante vitrectomía

  1. L López-Guajardo
  2. MA Teus-Guezala
  3. J Guzmán-Blázquez
  4. A Silva-Mato
Revista:
Archivos de la Sociedad Española de Oftalmologia

ISSN: 0365-6691

Ano de publicación: 2005

Volume: 80

Número: 9

Páxinas: 529-532

Tipo: Artigo

DOI: 10.4321/S0365-66912005000900007 DIALNET GOOGLE SCHOLAR lock_openAcceso aberto editor

Outras publicacións en: Archivos de la Sociedad Española de Oftalmologia

Obxectivos de Desenvolvemento Sustentable

Resumo

Objectives/Methods: It is well established that some patients with branch retinal vein occlusion undergo a spontaneous resolution after a suitable waiting period. We present a series of 22 patients with initial acuity under 0.2 for whom we allowed three months of observation before considering vitrectomy. Results/Conclusions: 13% of the patients developed enough spontaneous improvement to be excluded from subsequent treatment. We thus believe a waiting period should be considered before instituting treatment in patients with this particular problem.

Referencias bibliográficas

  • Finkelstein, D. (1992). Ischemic macular edema: Recognition and favorable natural history in branch vein occlusion. Arch Ophthalmol. 110. 1427-1434
  • (1984). Argon laser photocoagulation for macular edema in branch vein occlusion. Am J Ophthalmol. 98. 271-282
  • Opremcak, EM, Bruce, RA. (1999). Surgical decompression of branch retinal vein occlusion via arteriovenous crossing sheathotomy: a prospective review of 15 cases. Retina. 19. 1-5
  • Mester, U, Dillinger, P. (2002). Vitrectomy with arteriovenous decompression and internal limiting membrane dissection in branch vein occlusion. Retina. 22. 740-746
  • Stefansson, E, Novack, RL, Hatchell, DL. (1990). Vitrectomy prevents retinal hypoxia in branch retinal vein occlusion. Invest Ophthalmol Vis Sci. 31. 284-289