December 2002
Volume 43, Issue 13
Free
ARVO Annual Meeting Abstract  |   December 2002
Sheathotomy for Branch Retinal Vein Occlusion
Author Affiliations & Notes
  • JP Myers
    Ophthalmology Saint Louis University Saint Louis MO
  • L Akduman
    Ophthalmology Saint Louis Universsity Saint Louis MO
  • Footnotes
    Commercial Relationships   J.P. Myers, None; L. Akduman, None.
Investigative Ophthalmology & Visual Science December 2002, Vol.43, 3502. doi:
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      JP Myers, L Akduman; Sheathotomy for Branch Retinal Vein Occlusion . Invest. Ophthalmol. Vis. Sci. 2002;43(13):3502.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Abstract: : Purpose: To present a patient with a branch retinal vein occlusion who underwent sheathotomy at the optic disc margin with good visual outcome. Methods: A 63 year-old woman had an inferotemporal branch retinal vein occlusion at an arterio-venous crossing adjacent to the optic disc margin. She underwent a pars plana vitrectomy and incision of the common arterio-venous sheath. Results: The patient's vision improved from 20/800 to 20/80 in the 2 months following the procedure. Clinical examination revealed a decrease in intraretinal hemorrhage and macular edema. Fluoroscein angiography revealed decreased leakage in the early and late phases. Conclusion: Our case report demonstrates substantial visual improvement after sheathotomy in a case with an occlusion close to the optic disc margin. Sheathotomy may be considered in selected patients with branch retinal vein occlusion not eligible for laser photocoagulation per the BVOS guidelines. This case suggests that the technique may be more applicable in cases where the occlusion is close to the optic disc margin.

Keywords: 628 vitreoretinal surgery 
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