Abstract
Aim
To evaluate the effectiveness of vitreous surgery with direct central retinal artery massage for the treatment of central retinal artery occlusion (CRAO).
Methods
Vitreous surgery with direct central retinal artery massage was performed on 10 consecutive patients with acute CRAO. After standard 3 port pars plana vitrectomy, a specially designed probe was used to massage the central retinal artery on the optic nerve head or within the optic nerve or both. The best-corrected visual acuity was measured and fundus photograph was taken before operation, at 24, 48 h and weekly intervals for at least 1 month postoperatively.
Results
Circulation was restored immediately during the operation in four cases, gradually since the first day after operation in four cases. There was no change in the remaining two cases, among which, central retinal vein occlusion occurred in one case 5 days later. No other complications occurred. At 2 months postoperatively, visual acuity had improved for three or more lines in six cases (60%), and remained the same in the rest of the cases.
Conclusions
Vitreous surgery with direct central retinal artery massage seems to be an effective and relatively safe treatment for CRAO.
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References
Mueller AJ, Neubauer AS, Schaller U, Kampik A . Evaluation of minimally invasive therapies and rationale for a prospective randomized trial to evaluate selective intra-arterial lysis for clinically complete central retinal artery occlusion. Arch Ophthalmol 2003; 121: 1377–1381.
Beatty S, Eong KGA . Local intra-arterial fibrinalysis for acute occlusion of the central retinal artery: a meta-analysis of the published data. Br J Ophthalmol 2000; 84: 914–916.
Brown GC, Magargal LE . Central retinal artery obstruction and visual acuity. Ophthalmology 1982; 89: 14–19.
Hayreh SS, Weingeist TA . Experimental occlusion of the central artery of the retina. IV: Retinal tolerance time to acute ischemia. Ophthalmology 1980; 64: 818–825.
Rumelt S, Dorenboim Y, Rehany U . Aggressive systemic treatment for central retinal artery occlusion. Am J Ophthalmol 1999; 128: 733–738.
Richard G, Lerche RC, Knospe V, Zermann H . Treatment of retinal arterial occlusion with local fibrinolysis using recombinant tissue plasminogen activator. Ophthalmology 1999; 106: 768–773.
Duker JS, Drown GC . Recovery following acute obstruction of the retinal and choroidal circulations: a case history. Retina 1988; 8: 257–260.
Hayreh SS, Zimmerman MB . Central retinal artery occlusion: visual outcome. Am J Ophthalmol 2005; 140: 376–391.
Arruga J, Sanders MD . Ophthalmologic findings in 70 patients with evidence of retinal embolism. Ophthalmology 1982; 89: 1336–1347.
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Competing interest statement: There are no proprietary or commercial interests related to the article
Previous presentation: The article is partly presented at the 7th EURETINA Congress in Monte Carlo 17–20 May, 2007
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Lu, N., Wang, NL., Wang, G. et al. Vitreous surgery with direct central retinal artery massage for central retinal artery occlusion. Eye 23, 867–872 (2009). https://doi.org/10.1038/eye.2008.126
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DOI: https://doi.org/10.1038/eye.2008.126
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