| Case
1 |
|
| Fig 1.1 |
Left fundus of a 71-year-old
man with a perfused central retinal vein
occlusion (CRVO) of 1.5 months duration and
20/400 acuity. |
| Fig 1.2 |
By 1 month following retinal vein t-PA injection, the
acuity improved 7 lines to 20/80, and by
2 months, the eye improved 3 more lines to
20/40. |
| Fig 1.3 |
At 6 months, the retinal hemorrhages had
largely resolved but with increasing cataract,
the acuity dropped slightly to 20/50. However,
the Potential Acuity Meter measured the
acuity at 20/20. That is a 13-line improvement
over baseline. |
| Fig 1.4 |
This patient is now 1.5 years out from the
procedure and even though he decided against
cataract surgery, his acuity is 20/30-3. |
|
|
|
| Case
2 |
|
| Fig 2.1 |
Right fundus
of an 81-year-old woman with a perfused
CRVO of 1 month duration and 20/160 acuity. |
| Fig 2.2 |
By 1.5 months
post-op, the acuity had improved to 20/125. |
| Fig 2.3 |
By 2 months, there was
further clearing of hemorrhage and edema
and the acuity improved to 20/32, a total
gain of 7 lines of acuity. |
|
|
|
| Case
3 |
|
| Fig 3.1 |
Right fundus
of a 65-year-old man with a superior hemispheric
vein occlusion for 1 month and 5/200 acuity.
Within 1 week post-op the acuity improved
by 7 lines to 20/160. |
| Fig 3.2 |
He continued to gradually
recover vision such that at 10 months,
the acuity was 20/63, a total recovery of
11 lines of acuity over baseline. |
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| *Click Image
to enlarge |
 |
 |
|
| Case
4 |
|
| Fig 4.1 |
Right
fundus of a 71-year-old woman with a nonperfused
CRVO of 4 months duration and 5/200 acuity. |
| Fig 4.2 |
Six weeks postoperatively,
there is marked clearing of macular hemorrhage
and edema and the acuity improved 6 lines
to 20/200. |
| Fig 4.3 |
By 6 months the acuity
improved further to 20/125, which is 8
lines better than baseline. We often
see this type of postoperative clearance
of retinal edema and hemorrhage, even in
eyes that don’t recover much vision. |
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Table
Mounted Retractors
Weiss
Microcannulation System
