Combined treatment of transluminal Nd:YAG laser embolysis and hyperbaric oxygen for branch retinal artery occlusion

Autor: Uslu, Hasim, Kanra, Ayse Yagmur
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: GMS Ophthalmology Cases, Vol 10, p Doc36 (2020)
Druh dokumentu: article
ISSN: 2193-1496
DOI: 10.3205/oc000163
Popis: Objective: To describe the clinical efficiency of transluminal Nd:YAG laser embolysis (TYE) and hyperbaric oxygen (HBO) as an off-label combined treatment for branch retinal artery occlusion (BRAO) with visible emboli.Methods: A 77-year-old woman had a history of seeing a “shadow” in the lower visual field of the left eye for three days. Platelet-fibrin embolus at the arterial bifurcation was disintegrated by TYE technique and the patient was referred to HBO treatment for 20 sessions.Results: One week after treatment, best-corrected visual acuity improved to 0.8 while a good arterial blood flow in the affected branch was seen. Platelet fibrin plaques had disappeared at fundus, and the pale appearance in the retina had decreased. Conclusions: TYE and HBO combination treatment may be an effective and feasible treatment for restoration of blood flow and vision in BRAO cases caused by visible platelet-fibrin emboli.
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