Update on the Management of Central Retinal Artery Occlusion

Michael Dattilo1, Valérie Biousse2, Nancy J Newman3

  • 1Department of Ophthalmology, Emory University School of Medicine, 1365-B Clifton Road, Northeast, Atlanta, GA 30322, USA; Neuro-Ophthalmology, Emory Eye Center, 1365-B Clifton Road, Northeast, Atlanta, GA 30322, USA.

Neurologic Clinics
|November 26, 2016
PubMed

Insights

Central retinal artery occlusion (CRAO) is a serious eye condition. Current treatments do not improve vision, so focus is on preventing future vascular events like stroke.

Area of Science:

  • Ophthalmology
  • Neurology
  • Vascular Medicine

Background:

  • Central retinal artery occlusion (CRAO) is an ocular emergency.
  • It shares significant risk factors with acute cerebral ischemia.
  • Often caused by emboli from carotid arteries, aorta, or heart.

Purpose of the Study:

  • To review the understanding of CRAO.
  • To emphasize the importance of secondary prevention strategies.

Main Methods:

  • Literature review and synthesis of existing data on CRAO.
  • Analysis of risk factors and outcomes.

Main Results:

  • No current therapeutic interventions improve visual outcomes in CRAO.
  • Risk factors for CRAO and cerebral ischemia are nearly identical.

Conclusions:

  • Management should prioritize secondary prevention of major vascular events.
  • Focus on preventing stroke, heart attack, and cardiovascular death is crucial.

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