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Cutting the encircling band
Harvey Lincoff1, Marcin Stopa, Ingrid Kreissig
1Department of Ophthalmology, New York Presbyterian Hospital-Weill Medical College of Cornell University, New York 10021, USA. mcaulfie@med.cornell.edu
Purpose:
To report the effect of cutting the encircling band on ocular blood flow.
Methods:
In an interventional case series of 27 eyes with an encircling band, the ocular pulse amplitude (OPA) was measured and pulsatile ocular blood flow (POBF) derived and compared with fellow eyes. The bands were cut in 11 eyes and the POBF measured at 1 month, 3 months, and 1 year. Changes in POBF, buckle height, and visual acuity were determined.
Results:
The presence of the encircling band reduced the POBF to a mean of 43% (P < 0.001) of the fellow eye. Cutting the band resulted in a mean recovery to 85.6%. No retina detached after cutting, buckle height was only slightly diminished, and the visual acuity was unaffected.
Conclusion:
An encircling band diminishes the POBF. Cutting the band restores significant flow.
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