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Dr.Nishikant Borse, Dr.Vinay PrasadAim: To present the results of Vitrectomy with Arterial Sheathotomy as primary treatment modality in cases of Central Retinal artery occlusion
Materials and methods: 18 patients who were diagnosed to have a Central Retinal Artery Occlusion were subjected to Vitrectomy with Arterial Sheathotomy after the conventional treatment modalities like failed.
A very low IOP vitrectomy was performed along with PVD induction. The optic disc was deroofed by removal of the meniscus of Kunht. Removal of this tissue along with the sheathotomy resulted in opening of the Central Retinal Artery and migration of the embolus. In two cases we can see the embolus migrate post operatively to small retinal arteries..
Results: Post operatively at 4 weeks there was a significant visual improvement in all the cases.
Conclusion: Vitrectomy as a primary treatment modality in CRAO is a promising treatment option which can save eyes that otherwise would have had a permanent visual loss.