Central retinal artery catheterization for retinal artery occlusion with balanced salt solution

To assess the efficacy and safety of vitrectomy combined with central retinal artery Cannulation in the treatment of retinal artery occlusion. Retrospective case analysis was conducted from April 2020 to March 2022 at the Xiamen Eye Center of Xiamen University, for patients diagnosed with central re...

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Vydáno v:Scientific reports Ročník 15; číslo 1; s. 11210 - 9
Hlavní autoři: Luo, Xiangdong, Wang, Xiaoying, Li, Yang, Chen, Xiaoyan, Wang, Bin, Hu, Qinrui, Li, Xiaoxin
Médium: Journal Article
Jazyk:angličtina
Vydáno: London Nature Publishing Group UK 02.04.2025
Nature Publishing Group
Nature Portfolio
Témata:
692/308
692/699
Acuity
Adolescent
Adult
Aged
Angiography
Cannulation
Catheterization - methods
Clinical evaluation
Eye
Female
Fluorescein
Fluorescein Angiography
Humanities and Social Sciences
Humans
Male
Medical imaging
Middle Aged
multidisciplinary
Occlusion
Patients
Photography
Retina
Retinal artery
Retinal Artery - surgery
Retinal Artery Occlusion - diagnostic imaging
Retinal Artery Occlusion - physiopathology
Retinal Artery Occlusion - surgery
Retinal Artery Occlusion - therapy
Retrospective Studies
Science
Science (multidisciplinary)
Statistical analysis
Surgery
Tomography, Optical Coherence
Treatment Outcome
Vision
Visual Acuity
Visual field
Visual Fields
Vitrectomy - methods
Young Adult
Occlusion
Clinical evaluation
Cannulation
Retinal artery
ISSN:2045-2322, 2045-2322
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Popis
Shrnutí:To assess the efficacy and safety of vitrectomy combined with central retinal artery Cannulation in the treatment of retinal artery occlusion. Retrospective case analysis was conducted from April 2020 to March 2022 at the Xiamen Eye Center of Xiamen University, for patients diagnosed with central retinal artery occlusion or branch retinal artery obstruction, who underwent retinal artery Cannulation within 72 h of onset. All patients underwent pre- and postoperative visual acuity, intraocular pressure, fundus photography, optical coherence tomography, wide-angle fluorescein angiography, and visual field examination. Nine patients (6 males and 3 females) with an average age of 46 ± 28.6 years (range: 16–77 years) were included. Seven eyes were diagnosed with central retinal artery occlusion, and two eyes with branch retinal artery occlusion. The average time from onset to surgery was 40.1 h. One month after treatment, logMAR visual acuity improved in all 9 eyes of 9 patients, with a statistically significant difference ( P  = 0.012). Fluorescein angiography showed that postoperative arm-retinal circulation time was shortened in 5 cases (5/9, 55%) and unchanged in 4 cases (4/9, 45%). After surgery, patients generally report an improvement in vision, as well as an enhancement in their field of vision. Retinal artery Cannulation can effectively improve visual acuity and visual field, shorten the arm-retinal circulation time, and promote the recovery of retinal circulation.
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ISSN:2045-2322
2045-2322
DOI:10.1038/s41598-025-95238-w