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RGUHS Nat. J. Pub. Heal. Sci Vol: 14  Issue: 1 eISSN:  pISSN

Case Report

ND:YAG laser embolectomy in a Patient with Branch Retinal Artery Occlusion

Kannan P, Vyas MT, Rao VA

Corresponding Author : Dr M T Vyas, Postgraduate in Ophthalmology, Department of Ophthalmology,Sri Manakula Vinayagar Medical College, Puducherry 

Department of Ophthalmology, Sri Manakula Vinayagar Medical College & Hospital, Puducherry

Year: 2013, Volume: 3, Issue: 4, Page no. 263-264,
Views: 666, Downloads: 3
Licensing Information:
CC BY NC 4.0 ICON
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0.
Abstract

Management of central retinal artery occlusion and branch retinal artery occlusion is usually unsuccessful because of either late presentation or ineffective treatment options. Currently there is no effective therapy for central retinal artery occlusion and branch retinal artery occlusion. Transluminal Nd:YAG laser embolectomy can rapidly restore reperfusion. In this laser is focused on the embolus resulting in photodisruption of vessel wall. This leads to dislodgment of embolus through disrupted vessel wall and instant reperfusion of the occluded vessel at the cost of vitreous hemorrhage.

We report a case of a 65 year old male patient having superotemporal branch retinal artery occlusion of left eye. After a trial of ocular massage and systemic acetazolamide, which did not relieve the obstruction, a single spot of 0.5mJ Nd:YAG laser was given over the embolus present over the bifurcation of superior trunk of central retinal artery resulting in instant removal of embolus and relief of obstruction. The major complication was vitreous hemorrhage.

<p>Management of central retinal artery occlusion and branch retinal artery occlusion is usually unsuccessful because of either late presentation or ineffective treatment options. Currently there is no effective therapy for central retinal artery occlusion and branch retinal artery occlusion. Transluminal Nd:YAG laser embolectomy can rapidly restore reperfusion. In this laser is focused on the embolus resulting in photodisruption of vessel wall. This leads to dislodgment of embolus through disrupted vessel wall and instant reperfusion of the occluded vessel at the cost of vitreous hemorrhage.</p> <p>We report a case of a 65 year old male patient having superotemporal branch retinal artery occlusion of left eye. After a trial of ocular massage and systemic acetazolamide, which did not relieve the obstruction, a single spot of 0.5mJ Nd:YAG laser was given over the embolus present over the bifurcation of superior trunk of central retinal artery resulting in instant removal of embolus and relief of obstruction. The major complication was vitreous hemorrhage.</p>
Keywords
Nd-YAG laser, retinal artery occlusion
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