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Statistical analysis of visual prognosis following stellate ganglion block treatment on patients with retinal vessel obstruction
Authors:Atsuhiro Sakamoto  Eiichiroh Umeda  Kohichiroh Gotoh  Masanobu Nakamura  Tetsuo Satoh  Atsushi Mizukawa  Shigekuni Okisaka
Affiliation:(1) Department of Anesthesiology, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, 113 Tokyo, Japan;(2) Department of Anesthesiology, National Defense Medical College, 3-2 Namiki, 359 Tokorozawa, Saitama, Japan;(3) Department of Ophthalmology, National Defense Medical College, 3-2 Namiki, 359 Tokorozawa, Saitama, Japan
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.
Keywords:Retinal artery obstruction  Retinal vein obstruction  Stellate ganglion block
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