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Retinal Vascular Reactivity as Assessed by Optical Coherence Tomography Angiography
07:23

Retinal Vascular Reactivity as Assessed by Optical Coherence Tomography Angiography

Published on: March 26, 2020

[Clinical diagnostics and therapy for non-arteritic central retinal artery occlusion]

A Pielen1, B Junker, L Hansen

  • 1Universitäts-Augenklinik, Freiburg. amelie.pielen@uniklinikfreiburg.de

Klinische Monatsblatter Fur Augenheilkunde
|September 17, 2010
PubMed

Insights

Central retinal artery occlusion (CRAO) is an emergency requiring prompt diagnosis and treatment. This review guides interdisciplinary diagnostics and recommends multimodal therapy for non-arteritic CRAO.

Area of Science:

  • Ophthalmology
  • Vascular Medicine
  • Neurology

Context:

  • Central retinal artery occlusion (CRAO) is a critical ophthalmological emergency.
  • Risk factors include hypertension, arrhythmias, atherosclerosis, hypercholesterolemia, and diabetes.
  • Arteritic causes should be investigated in elderly patients, while thrombophilia is considered in younger individuals.

Purpose:

  • To review the causes and diagnostic methods for CRAO.
  • To critically evaluate existing therapeutic options for non-arteritic CRAO.
  • To provide a guide for interdisciplinary diagnostics and recommend multimodal treatment strategies.

Summary:

  • This review details the etiology and diagnostic approaches for CRAO.
  • It critically assesses various interventions, including eye massage, IOP reduction, anticoagulation, and thrombolysis.
  • A multimodal therapeutic approach, integrated with internal medicine and neurology, is proposed for non-arteritic CRAO.

Impact:

  • Aims to standardize the diagnostic and therapeutic pathway for CRAO.
  • Facilitates collaboration between ophthalmology, internal medicine, and neurology.
  • Offers a structured approach to managing this sight-threatening condition.

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