Successful erbium: YAG laser-induced chorioretinal venous anastomosis for the management of ischemic central retinal vein occlusion. A report of two cases.
BACKGROUND
Central retinal vein occlusion (CRVO) is a disorder with potentially blinding complications, particularly when associated with retinal ischemia. There is no reliable treatment for ischemic CRVO.


METHODS
We developed a new approach for ischemic cases of CRVO consisting of vitrectomy, posterior hyaloid detachment, and four erbium:YAG laser-induced chorioretinal anastomoses, one in each quadrant.


RESULTS
We report two cases of ischemic CRVO treated with this approach, with initial visual acuity of count fingers at 30 cm and hand movements respectively. After the surgery, there was resolution of hemorrhages and macular edema and visual improvement to 20/400 in the first case and to 20/180 in the second case. In both cases, there was successful creation of chorioretinal anastomoses, and there was no anterior segment neovascularization or other complications related to the surgery.


CONCLUSIONS
This treatment shows promise in the management of the ischemic cases of CRVO, and further evaluation is justified.
Quiroz-Mercado
H
H
Retina Service, Hospital Dr. Luis Sánchez Bulnes, Asociación para evitar la Ceguera en Mexico, Mexico City. retinamex@yahoo.com
Sánchez-Buenfil
E
E
Guerrero-Naranjo
J L
JL
Ochoa-Contreras
D
D
Ruiz-Cruz
M
M
Marcellino
G
G
Damico
D J
DJ
D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D002829:Choroid / Q000098:blood supply*; D004396:Coloring Agents; D005260:Female; D005451:Fluorescein Angiography; D006801:Humans; D007208:Indocyanine Green; D053685:Laser Therapy / Q000379:methods*; D011379:Prognosis; D012169:Retinal Vein / Q000601:surgery*; D012170:Retinal Vein Occlusion / Q000601:surgery*; D014792:Visual Acuity; D014821:Vitrectomy
D004396:Coloring Agents; D007208:Indocyanine Green