Clinical observation of Dan-Hong Hua-Yu oral solution in treating retinal vein occlusion

Tie-Jun Li, Yu-Chen Sun, Qiu-Yan Ma, Yan Wu, Chao Yang, Nan Zhang, Yue Yang, Ying-Xin Yang, Tie-Jun Li, Yu-Chen Sun, Qiu-Yan Ma, Yan Wu, Chao Yang, Nan Zhang, Yue Yang, Ying-Xin Yang

Abstract

Introduction: Retinal vein occlusion refers to diseases with decreased vision, dilated tortuous retinal veins visible on the fundus, and retinal hemorrhage, edema, and osmosis distributed along the vein. There is still no ideal intervention to treat central retinal vein occlusion. This study plan to observe the efficacy of Dan-Hong Hua-Yu oral solution in treating non-ischemic retinal vein occlusion, in order to provide new treatment ideas.

Methods/design: We plan to use random number table method, 64 cases of non-ischemic central retinal vein occlusion that meet the inclusion criteria will be randomly divided into a treatment group and a control group. The intervention group will be treated with Dan-Hong Hua-Yu oral solution according to the syndrome differentiation of Traditional Chinese medicine and the patient's fundus condition. Each group will take 4 weeks as a course of treatment and three consecutive courses of treatment without any interval during the course of treatment. Changes of visual acuity, fundus performance, and total clinical symptoms of patients before and after treatment will be observed.

Discussion: This study will observe the efficacy of Dan-Hong Hua-Yu oral solution in the treatment of non-ischemic central retinal vein occlusion, with a view to providing new treatment ideas.

Trial registration: ClinicalTrials.gov, ChiCTR2000030625, Registered on March 08, 2020.

Conflict of interest statement

The authors have no conflicts of interest to disclose.

Figures

Figure 1
Figure 1
SPIRIT figure for the schedule of enrollment, interventions, and assessments.
Figure 2
Figure 2
Study design flowchart.

References

    1. Iturralde D, Spaide RF, Meyerle CB, et al. Intravitreal bevacizumab (Avastin) treatment of macular edema in central retinal vein occlusion: a short-term study. Retina 2006;26:279–84.
    1. Domalpally A, Blodi BA, Scott IU, et al. The Standard Care vs Corticosteroid for Retinal Vein Occlusion (SCORE) study system for evaluation of optical coherence tomograms: SCORE study report 4. Arch Ophthalmol 2009;127:1461–7.
    1. Noma H, Funatsu H, Mimura T, et al. Vitreous levels of interleukin-6 and vascular endothelial growth factor in macular edema with central retinal vein occlusion. Ophthalmology 2009;116:87–93.
    1. Haller JA, Bandello F, Belfort R, Jr, et al. Dexamethasone intravitreal implant in patients with macular edema related to branch or central retinal vein occlusion. Ophthalmology 2011;118:2453–60.
    1. McIntosh RL, Rogers SL, Lim L, et al. Natural history of central retinal vein occlusion: an evidence-based systematic review. Ophthalmology 2010;117: 1113–23.e15.
    1. Kriechbaum K, Michels S, Prager F, et al. Intravitreal Avastin for macular oedema secondary to retinal vein occlusion: a prospective study. Br J Ophthalmol 2008;92:518–22.
    1. Alireza R. Radial optic neurotomy for central retinal vein occlusion. Chin J Ocular Fundus Dis 2009;4:549.
    1. Carkeet A. Central retinal vein occlusion in a young adult. Clin Exp Optom 1995;78:60–4.
    1. Huang W. The modality of XiuQuanTong in treatment of retinal vein occlusion. ARVO Meeting Abstracts. Invest Ophthalmol Vis Sci 2002;43:503.
    1. Zhu X, Bi A, Han X. Treatment of retinal vein obstruction with acupuncture and Chinese medicinal herbs. J Tradit Chin Med 2002;22:211–3.
    1. Gaopi D, Huihui L. Understanding, prevention and treatment of deep vein thrombosis in obstetrics and gynecology based on traditional Chinese medicine. Chin J Pract Gynecol Obstet 2009;25:356–8.
    1. Lerche RC, Schaudig U, Scholz F, et al. Structural changes of the retina in retinal vein occlusion – imaging and quantification with optical coherence tomography. Ophthalmic Surg Lasers 2001;32:272–80.
    1. Ip M, Kahana A, Altaweel M. Treatment of central retinal vein occlusion with triamcinolone acetonide: an optical coherence tomography study. Semin Ophthalmol 2009;67–73.
    1. Leizaola-Fernández C, Suárez-Tatá L, Quiroz-Mercado H, et al. Vitrectomy with complete posterior hyaloid removal for ischemic central retinal vein occlusion: series of cases. BMC Ophthalmol 2005;5:10.
    1. Rogers S, Mcintosh R, Cheung N, et al. The prevalence of retinal vein occlusion: pooled data from population studies from the United States, Europe, Asia, and Australia. Ophthalmology 2010;117: 313–9.e1.
    1. Blodi BA, Amitha D, Scott IU, et al. Standard Care vs Corticosteroid for Retinal Vein Occlusion (SCORE) Study system for evaluation of stereoscopic color fundus photographs and fluorescein angiograms: SCORE Study Report 9. Arch Ophthalmol 2010;128:1140–5.
    1. Saw SM, Wong TY, Mcintosh RL, et al. Interventions for central retinal vein occlusion: an evidence-based systematic review. Ophthalmology 2007;114:507–19.
    1. Hayrehd SS. Central and hemicentral retinal vein occlusion: role of anti-platelet aggregation agents and anticoagulants. Ophthalmology 2011;118:1603–11.
    1. Elman MJ, Raden RZ, Carrigan A. Intravitreal injection of tissue plasminogen activator for central retinal vein occlusion. Trans Am Ophthalmol Soc 2001;99:223–30.
    1. Bertelsen M, Linneberg A, Christoffersen N, et al. Mortality in patients with central retinal vein occlusion. Ophthalmology 2014;121:637–42.
    1. Long P, Yan W, Liu J, et al. Therapeutic effect of Traditional Chinese medicine on a rat model of branch retinal vein occlusion. J Ophthalmol 2019;2019:1–3.
    1. Jiawei Z, Jianmiao FU, Hospital ZP. Clinical efficacy and safety evaluation on TCM syndrome differentiation and Western medicine for central retinal vein occlusion. Chin Arch Tradit Chin Med 2015;78:374–7.
    1. Jin-Qi L, Jing-Bo W, Jing Z. Clinical observation of RVO treated with combined Chinese herbs and laser coagulation. J Otolaryngol Ophthalmol Shandong Univ 2010;24:62–3.
    1. Chang H. TCM treatment of fundus hemorrhage due to obstruction of retinal vein. J Tradit Chin Med 2002;22:121–3.

Source: PubMed

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