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Published on: March 26, 2020
Hyperbaric Oxygen Therapy in Retinal Arterial Occlusion: Epidemiology, Clinical Approach, and Visual Outcomes
Ana Sofia Lopes1, Rita Basto1, Susana Henriques1
1Department of Ophthalmology of Professor Doutor Fernando Fonseca E.P.E. Hospital (Amadora-Sintra), Lisbon, Portugal.
Hyperbaric oxygen therapy (HBOT) shows promise for improving vision in acute retinal artery occlusion (RAO) patients when administered early. This safe treatment option offers hope for a condition lacking approved therapies.
Area of Science:
- Ophthalmology
- Hyperbaric Medicine
- Vascular Medicine
Background:
- Acute retinal artery occlusion (RAO) is a critical condition leading to vision loss.
- Current treatment options for RAO are limited and often ineffective.
- Hyperbaric oxygen therapy (HBOT) is being explored as a potential intervention.
Observation:
- A retrospective study analyzed 13 patients with RAO treated with HBOT between 2013 and 2018.
- Key parameters included patient history, treatment timing, HBOT details, and visual acuity outcomes.
- Central RAO (CRAO) affected 69.2% and branch RAO (BRAO) affected 30.8% of patients.
Findings:
- The most common risk factor was arterial hypertension (53.8%).
- Early HBOT (median 9 hours post-symptom onset) resulted in significant visual improvement (best-corrected visual acuity, BCVA) in 55.5% of CRAO cases and 75% of BRAO cases.
- A median of 7 HBOT sessions were administered without reported complications.
Implications:
- HBOT appears to be an effective and safe therapeutic option for RAO.
- Early intervention with HBOT is crucial for achieving optimal visual outcomes.
- Further research is warranted to establish HBOT as a standard treatment for RAO.
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