• Users Online: 9820
  • Home
  • Print this page
  • Email this page
BRIEF COMMUNICATION
Year : 2017  |  Volume : 65  |  Issue : 4  |  Page : 323-325

Rescue vitrectomy with blocked artery massage and bloodletting for branch retinal artery occlusion


1 Department of Ophthalmology, China Medical University Hospital, China Medical University; School of Medicine, College of Medicine, China Medical University, Taichung, Taiwan
2 Department of Ophthalmology, China Medical University Hospital, China Medical University, Taichung, Taiwan
3 An-Shin Dialysis Center, NephroCare Ltd., Fresenius Medical Care, Taichung, Taiwan
4 Department of Ophthalmology, China Medical University Hospital, China Medical University; School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung, Taiwan

Correspondence Address:
Chun-Ju Lin
Department of Ophthalmology, 2 Yuh-Der Road, Taichung 40447
Taiwan
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_698_16

Rights and Permissions

A 61-year-old male suffered from sudden blurred vision and superior visual field defect oculus dexter. His vision was counting fingers at 20 cm. Fundoscopy demonstrated inferior pale retina and a large embolus located at the proximal inferior retinal artery. Branch retinal artery occlusion (BRAO) was diagnosed. Initial paracentesis, topical brimonidine tartrate, oral pentoxifylline, and hyperbaric oxygen therapy were performed but showed limited improvement. Hence, he received 25-gauge vitrectomy, artificial posterior vitreous detachment, blocked retinal artery massage, and bloodletting 5 days after onset. After the surgery, his vision improved to 20/25. Fundoscopy showed reperfused retina, and optical coherence tomography revealed resolved retinal edema. RAO is an ophthalmological emergency; however, no standard guideline is available. Vitrectomy with blocked retinal artery massage and bloodletting showed favorable results in this case of BRAO with a large embolus. More prospective clinical trials are needed for setting up the standard treatment.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed1836    
    Printed34    
    Emailed0    
    PDF Downloaded196    
    Comments [Add]    
    Cited by others 3    

Recommend this journal