[Simultaneous bilateral occlusion of the central retinal artery]

There are presented two rare cases of bilateral and simultaneous OACR. In the last year's literature there were founded a few cases of bilateral and simultaneous OACR described as occurring during other diseases. After the clinic and laboratory investigation, the authors consider the two cases' etiopathogenesis being part: first of a ischemic anterior arterial neuropathy and the second case part of a nonarterial neuropathy. Further, there are commented the manifestations and the immediate therapy of the ischemic optic neuropathy. Finally, the authors propose the immediate use of corticosteroids in high doses simultaneous with the classic treatment: vasodilators , anticoagulant drugs, thrombolytic agents. The purposes are to save the affected eye and especially to prevent the appearance of the disease to the second one.