Problems of chorioretinal venous anastomosis by laser for treatment of nonischemic central retinal vein occlusion


Aktan S., Subasi M., Akbatur H., Or M.

OPHTHALMOLOGICA, vol.212, no.6, pp.389-393, 1998 (Peer-Reviewed Journal) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 212 Issue: 6
  • Publication Date: 1998
  • Doi Number: 10.1159/000027373
  • Journal Name: OPHTHALMOLOGICA
  • Journal Indexes: Science Citation Index Expanded, Scopus
  • Page Numbers: pp.389-393

Abstract

Objectives: Evaluate the efficacy of chorioretinal venous anastomosis in patients with nonischemic retinal vein occlusions with progressive visual loss and to concentrate on complications. Design: Case series of 6 patients, retrospective study. Six patients with nonischemic central retinal vein occlusions and progressive visual loss. Laser photocoagulation was performed to create a chorioretinal venous anastomosis to be able to supply venous blood to the choroid, bypassing the occlusion, Visual acuity, funduscopic appearance and fluorescein angiographic appearance were determined. Results: Two patients showed a chorioretinal anastomosis (33%), whereas in the other 4 patients the anastomosis could not be created. Yet 1 patient consequently had a neovascular tuft under the laser site. These new vessels caused minor vitreous hemorrhage and a tractional membrane which regressed after 10 months. Conclusion: The utilization of a chorioretinal venous anastomosis by laser as a therapeutic modality should be further questioned and thoroughly evaluated and caution must be exercised to avoid vision-threatening complications.