Abstract
The visual outcome in 308 patients treated for retinal vessel obstruction was examined retrospectively and the effectiveness of each treatment was evaluated using stepwise multiple linear regression analysis and the chi-square test. Visual acuity was used as the parameter for assessing treatment effectiveness and the variables investigated included treatment factors [stellate ganglion block (SGB), urokinase administration, and prostaglandin administration] and patient factors (age, duration of visual impairment before treatment, hypertension, and diabetes mellitus). SGB treatment, the duration of visual impairment, and the presence of diabetes mellitus were significantly correlated with the visual prognosis following treatment. These results support the current hypothesis that SGB is a viable treatment for patients with obstructive disease of the retinal vessels.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Coston TO (1951) Ocular symptoms of stellate ganglion block: Its use in the treatment of the central retinal artery. Am J Ophthal 34:1289–1293
Nagaoka T, Okisaka S (1984) Evaluation of urokinase in the treatment of retinal vein occlusion. J Natl Def Med Coll 9:37–41
Rossman H (1980) Treatment of retinal arterial occlusion. Ophthalmologica 180:68–74
Poraras C, Tsacopoulos M, Chapuis PH (1976) Studies on the role of prostaglandins in the regulation of retinal blood flow. Exp Eye Res 26:687–689
Futenma M, Sugimachi Y, Suzuki M, et al. (1976) Stellate ganglion block in eye clinic. Folia Ophthalmol Jpn 27:260–264
Kikuchi H, Wakasugi B, Yuda Y, et al. (1979) Retinal vascular effects of stellate ganglion block on retinal artery occlusion: Fluorescein angiographic study. Hiroshima J Anesth 15:191–199
Matsuura M, Namba Y, Takeshima N (1984) Effects of stellate ganglion block on normal human retinal circulation in Japanese, with English abstract. Nihon Rinsho Masui Gakkaîshi (J Jpn Soc Clin Anesth) 4:297–301
Hayreh SS (1976) So-called “central retinal vein occlusion”. I: Pathogenesis, terminology, clinical features. Ophthalmologica 172:1–13
Daicker B (1977) Pathologische Anatomie der arteriellen und venösen Gefässverschlusse in der Netzhaut. Klin Mbl Augenheilk 170:198–211
Augsburger JJ, Magargal LE (1980) Visual prognosis following treatment of acute central retinal artery obstruction. Br J Ophthalmol 64:913–917
Brown GC, Magargal LE (1982) Central retinal artery obstruction and visual acuity. Ophthalmology 89:14–19
Author information
Authors and Affiliations
About this article
Cite this article
Sakamoto, A., Umeda, E., Gotoh, K. et al. Statistical analysis of visual prognosis following stellate ganglion block treatment on patients with retinal vessel obstruction. J Anesth 8, 40–43 (1994). https://doi.org/10.1007/BF02482752
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02482752