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A Murine Model of Ischemic Retinal Injury Induced by Transient Bilateral Common Carotid Artery Occlusion
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Practice Patterns After Acute Embolic Retinal Artery Occlusion.

Anne S Abel1, Sandip Suresh1, Haitham M Hussein2

  • 1Department of Ophthalmology, University of Minnesota.

Asia-Pacific Journal of Ophthalmology (Philadelphia, Pa.)
|February 6, 2017
PubMed
Summary
This summary is machine-generated.

Neurologists favor urgent hospital evaluations for retinal artery occlusion (RAO), while retina specialists often opt for outpatient workups. Early stroke evaluation is crucial for managing RAO risk factors.

Keywords:
central retinal artery occlusionevaluationmanagementneuroimagingstrokeworkup

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Area of Science:

  • Ophthalmology
  • Neurology
  • Vascular Neurology

Background:

  • Retinal artery occlusion (RAO) is a critical condition requiring prompt diagnosis and management.
  • Discrepancies may exist in the evaluation protocols recommended by ophthalmologists and neurologists for RAO.

Purpose of the Study:

  • To compare the stroke evaluations recommended by retina specialists and neurologists for patients presenting with retinal artery occlusion (RAO).

Main Methods:

  • A cross-sectional anonymous survey was distributed to neurologists and vitreoretinal specialists.
  • Survey responses were analyzed based on symptom duration: <12 hours, 24-48 hours, and >1 week.

Main Results:

  • 448 surveys were completed (281 retinologists, 167 neurologists).
  • Within 12 hours of RAO, 75% of neurologists recommended hospital evaluation versus 82% of retinologists recommending outpatient workup (P < 0.0001).
  • Over 90% of both specialists recommended outpatient stroke workup for symptoms present >7 days.

Conclusions:

  • Neurologists tend to recommend higher acuity care for RAO compared to retina specialists.
  • Retina specialists should consider urgent stroke evaluation to mitigate associated stroke risk factors.