RGUHS Nat. J. Pub. Heal. Sci Vol: 14 Issue: 4 eISSN: pISSN
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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
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.
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