Photocoagulation therapy of leaking archer's type 2 retinal arteriovenous communication.

Retin Cases Brief Rep

*Department of Ophthalmology, Fondation Ophtalmologique Adolphe de Rothschild †Department of Ophthalmology, Centre National d'Ophtalmologie des XV-XX ‡Centre Ophtalmologique d'Imagerie et de Laser, Paris, France.

Published: January 2015

AI Article Synopsis

  • Type 2 retinal arteriovenous communication involves direct connections between arteries and veins without capillaries, leading to potential complications like fluid leakage.
  • Two patients with this condition experienced serous macular detachment and vascular leakage, both of whom underwent low-intensity argon laser photocoagulation.
  • Results showed visual improvement and cessation of leakage in both cases, suggesting that laser treatment could be a viable option for enhancing vision in similar situations.

Article Abstract

Purpose: Type 2 retinal arteriovenous communication is characterized by direct arteriovenous communication without an intervening arteriolar or capillary segment. It may be complicated by extravascular exudation. The successful results of low-intensity argon laser photocoagulation in two cases are reported.

Methods: Case report of two patients.

Results: Both cases were associated with a serous macular detachment, showing evidence of vascular leakage. Argon laser photocoagulation was performed. Visual improvement was observed in both cases, with disappearance of vascular leakage.

Conclusion: Type 2 arteriovenous communications lead to increased arterial flow through a low-resistance vein. The resulting high intraluminal pressure may explain the observed vascular ectasia and consequent fluid leakage. Spontaneous regression may occur. Nevertheless, direct argon laser photocoagulation may be considered a therapeutic option and lead to visual improvement.

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Source
http://dx.doi.org/10.1097/ICB.0b013e31826f0927DOI Listing

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