Measurement of PO2 during vitrectomy for central retinal vein occlusion, a pilot study
Tom H Williamson1, Jas Grewal, Bhaskar Gupta
1Department of Ophthalmology, St. Thomas Hospital, Lambeth Palace Road, London, SE1 7EH, UK. tom@retinasurgery.co.uk
Introduction:
In this pilot study the effects of vitrectomy on PO(2) in the vitreous cavity in CRVO were investigated.
Study Design:
Prospective, controlled, interventional study.
Method:
Six patients with ischaemic CRVO in one eye (undergoing vitrectomy for radial optic neurotomy, RON) and six with either macula hole or membrane were included. An oxygen probe was inserted before removal of the vitreous (pre-vitrectomy) and after removal of the vitreous (post-vitrectomy). In the patients with CRVO, measurements were taken before RON was performed. Oxygenation recordings (PO(2)) were taken in the mid-vitreous cavity and the preretinal vitreous.
Results:
Mean age was 65 years. In controls, pre-vitrectomy, the mean PO(2) adjacent to the retina (15.0 mmHg S.D.5.7) was significantly less than mid-cavity (33.7 mmHg S.D.12.8). Similarly in CRVO, the pre-vitrectomy pre-retinal PO(2) (8.1 mmHg S.D. 3.5), was significantly less than mid-cavity (19.8 mmHg S.D.7.3). The mean PO(2) was significantly less in the eyes with CRVO than in control eyes. Post-vitrectomy, the PO(2) was significantly greater than pre-vitrectomy at both recording sites in the controls mid-cavity (61.5 mmHg S.D.13.9) and pre-retinal (75.8 mmHg S.D. 9.1), and CRVO eyes mid-cavity (53.7 mmHg S.D. 17.9) and pre-retinal (59.8 mmHg S.D. 15.8).
Conclusion:
PO(2) is reduced in the vitreous cavity in CRVO. Vitrectomy may be a method of increasing oxygen availability to the retina.
