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Central retinal artery catheterization for retinal artery occlusion with balanced salt solution
Xiangdong Luo1, Xiaoying Wang1, Yang Li1,2,3,4,5,6
1School of Medicine, Eye Institute and Affiliated Xiamen Eye Center of Xiamen University, Xiamen University, Xiamen, China.
Scientific Reports
|April 2, 2025
Summary
Vitrectomy with retinal artery cannulation effectively improves vision and visual fields in patients with retinal artery occlusion. This treatment shortens circulation time and aids retinal recovery.
Area of Science:
- Ophthalmology
- Vascular Surgery
Background:
- Retinal artery occlusion (RAO) is a serious condition that can lead to rapid vision loss.
- Timely intervention is crucial for improving outcomes in RAO patients.
Purpose of the Study:
- To evaluate the efficacy and safety of vitrectomy combined with central retinal artery cannulation for treating RAO.
- To assess the impact of this combined treatment on visual acuity, visual fields, and retinal circulation.
Main Methods:
- Retrospective case analysis of 9 RAO patients treated between April 2020 and March 2022.
- Patients underwent vitrectomy and retinal artery cannulation within 72 hours of symptom onset.
- Comprehensive pre- and postoperative assessments included visual acuity, intraocular pressure, fundus photography, OCT, fluorescein angiography, and visual field testing.
Main Results:
- All 9 patients experienced improved logMAR visual acuity one month post-treatment (P=0.012).
- Postoperative arm-retinal circulation time was shortened in 55% of cases.
- Patients reported subjective improvements in vision and visual field.
Conclusions:
- Vitrectomy combined with retinal artery cannulation is an effective treatment for RAO.
- The procedure improves visual acuity, visual fields, and retinal circulation time.
- This approach promotes retinal circulation recovery in RAO patients.
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