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Alvaro Rodríguez, MD; Francisco J. Rodríguez, MD; Felipe Betancourt, MD

Arch Ophthalmol. 1994;112(1):54-56.

Abstract
Objective
Sectioning of the posterior scleral ring has been advocated in the treatment of central retinal vein occlusion. We reviewed cases in which this surgery apparently produced sectioning or closure of the short and long posterior ciliary arteries that resulted in a triangular area of choroidal ischemia and permanent chorioretinal lesions.

Design
Case series.

Setting
Clinic-based vitreoretinal referral practice.

Patients
Four eyes of three patients whose ages ranged from 17 to 53 years underwent sectioning of the posterior scleral ring as treatment for central retinal vein occlusion.

Main Outcome Measures
Findings from complete ophthalmologic evaluation.

Results
All patients had either an oval or a triangular area of choroidal ischemia nasal to the optic disc and had permanent chorioretinal lesions.

Conclusions
Valid basis for performing this operation requires further investigation.

Author Affiliations
From the Fundación Oftalmológica Nacional, Bogotá, Colombia (Drs A. Rodriguez and Betancourt), and the Jules Stein Eye Institute and the Department of Ophthalmology, UCLA School of Medicine, Los Angeles, Calif (Dr F. Rodríguez).

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