title: Combined radial optic neurotomy, internal limiting membrane peeling, and intravitreal triamcinolone acetonide for central retinal vein occlusion.
abstract: To evaluate the efficacy of radial optic neurotomy, internal limiting membrane peeling, and intravitreal triamcinolone acetonide for central retinal vein occlusion. Eight consecutive eyes with central retinal vein occlusion with a duration of less than 6 months, cystoid macular edema, and best-corrected visual acuity (BCVA) of less than 20/200 were enrolled. BCVA, intraocular pressure, fluorescein angiography, and optical coherence tomography were evaluated. After 4.75 +/- 0.7 months, BCVA significantly improved, intraocular pressure was well controlled, and fluorescein angiography showed perfused state and reduction of the number of retinal hemorrhages in all eyes. Optical coherence tomography revealed significant reduction of macular thickness. Bleeding in the neurotomy site occurred in 3 cases. Radial optic neurotomy, internal limiting membrane peeling, and intravitreal triamcinolone acetonide may be useful in the management of central retinal vein occlusion with macular edema.
authors.affiliation: Department of Ophthalmology and Otolaryngology, University of Bari, Bari, Italy.
authors.forename: Claudio
authors.initials: C
authors.lastname: Furino
authors.forename: Tommaso Micelli
authors.initials: TM
authors.lastname: Ferrari
authors.forename: Francesco
authors.initials: F
authors.lastname: Boscia
authors.forename: Nicola
authors.initials: N
authors.lastname: Cardascia
authors.forename: Luigi
authors.initials: L
authors.lastname: Sborgia
authors.forename: Michele
authors.initials: M
authors.lastname: Reibaldi
authors.forename: Paolo
authors.initials: P
authors.lastname: Ferreri
authors.forename: Carlo
authors.initials: C
authors.lastname: Sborgia
mesh_terms: D000368:Aged; D001485:Basement Membrane / Q000601:surgery; D003131:Combined Modality Therapy; D019299:Decompression, Surgical / Q000379:methods; D005451:Fluorescein Angiography; D005938:Glucocorticoids / Q000627:therapeutic use*; D006801:Humans; D007267:Injections; D008269:Macular Edema / Q000188:drug therapy / Q000209:etiology / Q000601:surgery; D008875:Middle Aged; D009900:Optic Nerve / Q000601:surgery*; D012170:Retinal Vein Occlusion / Q000150:complications / Q000188:drug therapy* / Q000601:surgery*; D041623:Tomography, Optical Coherence; D014222:Triamcinolone Acetonide / Q000627:therapeutic use*; D014792:Visual Acuity; D014821:Vitrectomy; D014822:Vitreous Body
chemical_list: D005938:Glucocorticoids; D014222:Triamcinolone Acetonide