| Title | 25-Gauge Vitrectomy and Triamcinolone Acetonide-Assisted Internal Limiting Membrane Peeling for Chronic Cystoid Macular Edema Associated With Branch Retinal Vein Occlusion. | | Author(s) | Ma J, Yao K, Zhang Z, Tang X | | Institution | From the Eye Center of Affiliated Second Hospital School of Medicine, Zhejiang University, Hangzhou, P.R. China. | | Source | Retina 2008 July/August; 28(7):947-956. | | Abstract | PURPOSE:: To evaluate the efficacy of 25-gauge vitrectomy and triamcinolone acetonide (TA)-assisted internal limiting membrane (ILM) peeling for chronic cystoid macular edema (CCME) in branch retinal vein occlusion (BRVO).
METHODS:: Thirty-four patients (38 eyes) presenting with CCME in BRVO were treated prospectively by 25-gauge vitrectomy and ILM peeling. Change in best-corrected visual acuity (BCVA) and CCME status were evaluated preoperatively and postoperatively at 1 month, 2 months, 3 months, 4 months, 5 months, 6 months, and 7 months.
RESULTS:: Mean postoperative logMAR BCVAs +/- SD were 0.69 +/- 0.42, 0.65 +/- 0.41, 0.59 +/- 0.32, 0.39 +/- 0.27, 0.35 +/- 0.31, 0.32 +/- 0.28, and 0.32 +/- 0.31 at the seven follow-up months, respectively. Mean foveal thicknesses +/- SD were 443 +/- 60 mum, 212 +/- 67 mum, 188 +/- 41 mum, 176 +/- 53 mum, 173 +/- 41 mum, 171 +/- 39 mum, and 170 +/- 41 mum at the 7 follow-up months, respectively. Compared with before surgery, BCVA improved, and CCME was absorbed significantly (P < 0.01, Dunnett test). Foveal thickness and logMAR BCVA 7 months after surgery had a significant negative linear correlation (r = -0.81, P < 0.01; Spearman rank correlation).
CONCLUSIONS:: Twenty-five-gauge vitrectomy with TA-assisted ILM peeling is generally effective in reducing macular edema and improving BCVA for CCME in BRVO for at least 7 months. | | Language | ENG | | Pub Type(s) | JOURNAL ARTICLE
| | PubMed ID | 18698296 |
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