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Acute monocular visual loss: time to call the stroke team?
Jacob Day1, Housam Monla-Haidar2, Vasant Raman3
1Neurology, Royal Devon University Healthcare NHS Foundation Trust, Exeter, UK jacobday@doctors.org.uk.
A case of central retinal artery occlusion in an elderly man resulted in poor vision despite prompt medical evaluation. Conservative management was chosen over thrombolysis, highlighting challenges in treating this condition.
Area of Science:
- Ophthalmology
- Neurology
- Vascular Medicine
Background:
- Central retinal artery occlusion (CRAO) is a critical condition causing sudden vision loss.
- Prompt diagnosis and management are essential for potential visual recovery.
Observation:
- An elderly male patient presented with acute monocular vision loss.
- Urgent assessments by stroke and ophthalmology teams led to a CRAO diagnosis.
Findings:
- The patient was managed conservatively due to concerns regarding intravenous thrombolysis.
- Visual function remained poor following conservative management.
Implications:
- This case highlights practical challenges in managing CRAO, particularly regarding thrombolysis.
- Further research through randomized clinical trials is needed to establish definitive treatment benefits for CRAO.
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