scholarly journals Current endovascular treatment options for central retinal arterial occlusion: a review

2014 ◽  
Vol 36 (1) ◽  
pp. E7 ◽  
Author(s):  
Nitin Agarwal ◽  
Nihar B. Gala ◽  
Reza J. Karimi ◽  
Roger E. Turbin ◽  
Chirag D. Gandhi ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Treatment Options ◽  
Central Retinal Artery Occlusion ◽  
Case Series ◽  
Arterial Occlusion ◽  
Retinal Artery Occlusion ◽  
Artery Occlusion ◽  
Central Retinal Artery ◽  
Complication Rates ◽  
Retinal Artery

Central retinal artery occlusion, although relatively rare, is an ophthalmological emergency. If left untreated, complete blindness will ensue. Conventional therapies have not significantly improved outcomes compared with the natural history of the disease. Several case series of more recent endovascular approaches, such as intraarterial fibrinolysis, report successful outcomes. Still other studies regarding intraarterial fibrinolysis do not demonstrate any significantly better outcomes, with some even indicating increased complication rates. Therefore, the authors present a review of the current endovascular treatment options for central retinal artery occlusion.

Abstract WP69: Guideline-Based Intravenous rPA for Central Retinal Artery Occlusion: A Case Series and Systematic Review

Stroke ◽  
2018 ◽  
Vol 49 (Suppl_1) ◽  
Author(s):  
Mohammed Alkuwaiti ◽  
Connie Bongiorno ◽  
Kevin Engel ◽  
Shailesh Male ◽  
Christopher Logue ◽  
...  
Keyword(s):  
Systematic Review ◽  
Central Retinal Artery Occlusion ◽  
Case Series ◽  
Retinal Artery Occlusion ◽  
Artery Occlusion ◽  
Central Retinal Artery ◽  
Retinal Artery

scholarly journals Central Retinal Arterial Occlusion (CRAO) after Phacoemulsification-A Rare Complication

2013 ◽  
Vol 5 (2) ◽  
pp. 281-283 ◽  
Author(s):  
Gyanendra Lamichhane ◽  
P Gautam
Keyword(s):  
Cataract Surgery ◽  
Rare Complication ◽  
Central Retinal Artery Occlusion ◽  
Arterial Occlusion ◽  
Retinal Artery Occlusion ◽  
Artery Occlusion ◽  
Central Retinal Artery ◽  
Peribulbar Anesthesia ◽  
Retinal Artery ◽  
Phacoemulsification Cataract Surgery

Background: While peribulbar anesthesia is generally safe, a remote risk of retinal vascular accident exists and its routine use should be done with caution. Objective: To report a case of central retinal artery occlusion (CRAO) that occurred within 24 hours of routine uneventful phacoemulsification cataract surgery using peribulbar anesthesia. We share our experience of a 45-year old man who underwent uneventful clear corneal temporal incision phacoemulsification cataract surgery using peribulbar lignocain injection with adrenaline. Case: A Patient who underwent routine phacoemulsification surgery of left eye for posterior sub-capsular cataract under peribulbar anesthesia developed central retinal artery occlusion in the immediate post-operative period. The surgery was uneventful. Conclusion: Central retinal artery occlusion is a rare but dreadful complication seen after uneventful phacoemulsification and the cause is mainly due to anesthesia related. Nepal J Ophthalmol 2013; 5(10): 281-283 DOI: http://dx.doi.org/10.3126/nepjoph.v5i2.8746

CASE SERIES OF HYPERBARIC OXYGEN THERAPY FOR CENTRAL RETINAL ARTERY OCCLUSION

2019 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Thomas C. Masters ◽  
Bjorn C. Westgard ◽  
Stephen M. Hendriksen ◽  
Alejandra Decanini ◽  
Anne S. Abel ◽  
...  
Keyword(s):  
Hyperbaric Oxygen ◽  
Hyperbaric Oxygen Therapy ◽  
Oxygen Therapy ◽  
Central Retinal Artery Occlusion ◽  
Case Series ◽  
Retinal Artery Occlusion ◽  
Artery Occlusion ◽  
Central Retinal Artery ◽  
Retinal Artery

scholarly journals Intravenous thrombolysis in acute central retinal artery occlusion – A prospective interventional case series

PLoS ONE ◽  
2018 ◽  
Vol 13 (5) ◽  
pp. e0198114 ◽  
Author(s):  
Maximilian Schultheiss ◽  
Florian Härtig ◽  
Martin S. Spitzer ◽  
Nicolas Feltgen ◽  
Bernhard Spitzer ◽  
...  
Keyword(s):  
Central Retinal Artery Occlusion ◽  
Case Series ◽  
Intravenous Thrombolysis ◽  
Retinal Artery Occlusion ◽  
Artery Occlusion ◽  
Central Retinal Artery ◽  
Retinal Artery

Hyperbaric Oxygenation Combined with Nifedipine Treatment for Recent-Onset Retinal Artery Occlusion

1993 ◽  
Vol 3 (2) ◽  
pp. 89-94 ◽  
Author(s):  
I. Beiran ◽  
P. Reissman ◽  
J. Scharf ◽  
Z. Nahum ◽  
B. Miller
Keyword(s):  
Beneficial Effect ◽  
Visual Loss ◽  
Hyperbaric Oxygenation ◽  
Central Retinal Artery Occlusion ◽  
Arterial Occlusion ◽  
Retinal Artery Occlusion ◽  
Artery Occlusion ◽  
Acute Onset ◽  
Central Retinal Artery ◽  
Retinal Artery

We describe the results of early hyperbaric oxygenation combined with nifedipine treatment for central retinal artery occlusion, and explain the results pathophysiologically. We report four cases in which hyperbaric oxygenation therapy was applied in combination with nifedipine, eyeball massage, and glycerol for the treatment of central retinal artery occlusion. In two of the cases in which therapy was started less than 100 minutes after the acute onset of visual loss and one case in which therapy was started during the course of central arterial occlusion, considerable improvement in visual acuity was observed, while in the fourth case in which therapy was started six hours after the acute onset of visual loss, no improvement appeared. We conclude from these results that hyperbaric oxygenation therapy has a beneficial effect on the final visual outcome of central retinal artery occlusion, provided it is applied early enough. Further investigation is needed to fully define the nature and terms of this beneficial effect.

scholarly journals Diagnosis of Central Retinal Artery Occlusion in the Emergency Department Using POCUS: A Case Series

POCUS Journal ◽  
2021 ◽  
Vol 6 (2) ◽  
pp. 73-75
Author(s):  
Nicholas Cozzi ◽  
Kendall Stevens ◽  
Yeoshina Pillay ◽  
David Moore ◽  
Matthew Flannigan ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Vision Loss ◽  
Treatment Algorithm ◽  
Central Retinal Artery Occlusion ◽  
Case Series ◽  
Retinal Artery Occlusion ◽  
Artery Occlusion ◽  
Central Retinal Artery ◽  
Point Of Care Ultrasound ◽  
Retinal Artery

Introduction: Central Retinal Artery Occlusion is a cause of vision loss that warrants emergent evaluation. Ocular Point of Care Ultrasound (POCUS) is a non-invasive, inexpensive, and rapid modality to establish diagnosis with reduced time to consultation and treatment. Methods: This was a retrospective case series of patients evaluated at seven hospitals with diagnosis of CRAO over a two-year period. All patients underwent ocular POCUS performed by an emergency medicine clinician.  Results: Nine patients were evaluated with mean vision loss of 21 hours. Overall, 88% of patients were diagnosed with CRAO, 75% possessing US confirmed retrobulbar spot sign (RBBS), and 38% confirmed diagnosis with fundoscopy. Conclusion: Ocular POCUS is an examination all emergency medicine clinicians should be able to perform. A rapid diagnosis of CRAO provides opportunity for vision improvement with initiation of treatment. The lack of guidelines for treatment of CRAO represents an opportunity for a multi-speciality collaboration to develop a diagnostic and treatment algorithm.

scholarly journals Treatment Options for Central Retinal Artery Occlusion

2012 ◽  
Vol 15 (1) ◽  
pp. 63-77 ◽  
Author(s):  
Sudha Cugati ◽  
Daniel D. Varma ◽  
Celia S. Chen ◽  
Andrew W. Lee
Keyword(s):  
Treatment Options ◽  
Central Retinal Artery Occlusion ◽  
Retinal Artery Occlusion ◽  
Artery Occlusion ◽  
Central Retinal Artery ◽  
Retinal Artery
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