Lamina Puncture: Pars Plana Optic Disc Surgery for Central Retinal Vein Occlusion.

Autor: Lit, Eugene S., Tsilimbaris, Miltiadis, Gotzaridis, Eustratios, D'Amico, Donald J.
Předmět:
Zdroj: Archives of Ophthalmology; Apr2002, Vol. 120 Issue 4, p495, 5p, 4 Black and White Photographs
Abstrakt: Objective: To determine the feasibility of creating a perivascular space adjacent to the central retinal vein at the level of the lamina cribrosa as a potential method of reestablishing perfusion in central retinal vein occlusion. Methods: Various designs for a puncture instrument, or lamina puncture lancet, were investigated in cadavers, pigs that had undergone enucleation, and in vivo rabbit eyes. Results: A lancet with a sharp cutting edge on one side and an opposing blunt edge is repeatedly able to create a perivascular space with limited optic nerve fiber damage. Conclusions: Lamina puncture is technically feasible, and evaluation in carefully selected patients appears warranted. [ABSTRACT FROM AUTHOR]
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