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Shlomit Schaal, MD, PhD
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Drs. Schaal and Sigford present the novel treatment of a central retinal artery occlusion with 25-gauge pars plana vitrectomy. A 61-year-old gentleman presented with acute vision loss in his right eye for 5 hours. His visual acuity measured hand motions only. The retina initially appeared ischemic with severe arteriolar attenuation, a cherry red spot, and a pale optic disc. After core vitrectomy, preservative free triamcinolone acetonide was injected to assist with visualization of the vitreous. The posterior hyaloid face was tightly adhered to the macula and had to be peeled with a Tano brush. Upon completion of the vitrectomy, perfusion had dramatically increased. The vasculature was again visible, the cherry-red spot had diminished, and the nerve appeared perfused. The patient recovered vision to 20/400 and fluorescein angiography showed increased perfusion in all branches of the central retinal artery.
Posted: 11/15/2012
Shlomit Schaal, MD, PhD
Drs. Schaal and Sigford present the novel treatment of a central retinal artery occlusion with 25-gauge pars plana vitrectomy. A 61-year-old gentleman presented with acute vision loss in his right eye for 5 hours. His visual acuity measured hand motions only. The retina initially appeared ischemic with severe arteriolar attenuation, a cherry red spot, and a pale optic disc. After core vitrectomy, preservative free triamcinolone acetonide was injected to assist with visualization of the vitreous. The posterior hyaloid face was tightly adhered to the macula and had to be peeled with a Tano brush. Upon completion of the vitrectomy, perfusion had dramatically increased. The vasculature was again visible, the cherry-red spot had diminished, and the nerve appeared perfused. The patient recovered vision to 20/400 and fluorescein angiography showed increased perfusion in all branches of the central retinal artery.
Posted: 11/15/2012
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