Wydanie 1/2006

Przegląd chirurgicznych metod leczenia zakrzepów żyły siatkówki. Witrektomia ze zdjęciem błony granicznej wewnętrznej - opis przypadków (doświadczenia własne)

Review of the Surgical Management of the Central Retinal Vein Occlusion. Vitrectomy with Internal Limiting Membrane Peeling - Case Series Report

Piotr Gozdek, Dominik Odrobina, Sławomir Ciesiecki, Beata Matulska, Jerzy Nawrocki

Oddział Okulistyczny III Szpitala Miejskiego im. K. Jonschera w Łodzi Klinika Okulistyczna "Jasne Błonia" w Łodzi Kierownik: prof. dr hab. n. med. Jerzy Nawrocki


Summary: Purpose: The main purpose of our article is to show and compare the latest possibilities of surgical treatment in retinal vein occlusion such as sheathotomy, vitrectomy with internal limiting membrane peeling (dissection), radial optic neurotomy, vitrectomy with cannulation and injection of the tissue plasminogen activator (tPA). We would like to introduce our own research associated with three victrectomies with internal limiting membrane peeling (dissection) that we performed in patients after CRVO or BRVO. Method: Vitrectomy with ILM peeling was performed in three patients with CRVO or BRVO. Based on chosen articles we presented other methods of surgical treatment and the possible complications. Results: Our postoperative results refer to early (2 months) observation only. Victertomy was performed successfully in all four patients. There were no complications noted with this procedure. All patients had fluorescein angiography and OCT performed. Postoperative visual acuities improved in three patients. Conclusions: Vitrectomy with ILM peeling seems to be an interesting treatment method for patients with CRVO and BRVO. We couldn't obtain more findings because of the shortage of operated patients and too short period of our research. We suggest that it is the safest method of all described in our article.

Keywords: retinal vein occlusion, vitrectomy, sheathotomy, radial optic neurotomy, cannulation.


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