Abstract
Purpose::
To evaluate the efficacy of radial optic neurotomy in the treatment of central retinal vein occlusion with severe vision loss.
Methods::
A retrospective chart review was performed on the medical records of patients diagnosed with central retinal vein occlusion with severe vision loss treated with radial optic neurotomy.
Results::
Eight patients with severe vision loss due to central retinal vein occlusion were treated with radial optic neurotomy. Baseline (pre-operative) best-corrected visual acuity ranged from 20/200 to count fingers. Final best-corrected visual acuity ranged from count fingers to light perception. Median baseline (pre-operative) OCT central foveal thickness was 352 µm. Median final OCT central foveal thickness was 376 µm
Conclusions::
Radial optic neurotomy is not an effective treatment for central retinal vein occlusion with severe vision loss.
Keywords: vascular occlusion/vascular occlusive disease • vitreoretinal surgery • optic nerve