scholarly journals Retrospective Research of Central Retinal Artery Occlusion: Risk Factors and Onset-to-arrival Time

Central Retinal Artery Occlusion (CRAO) is an ophthalmologic emergency. Various systemic conditions can become risk factors. The purpose of this study is to discover the risk factors, and awareness of the emergency of patients with CRAO which is indicated by patient’s onset-to-arrival time. The method used in this study is retrospective description from the medical record data of patients diagnosed with CRAO who comes to Saiful Anwar General Hospital for a period of 3 years. Sample collection is done consecutively, obtaining a total of 21 patients. The researched variables are age, visual acuity, risk factor, onset-to-arrival time, and acute-phase CRAO management success. Most of the CRAO patients found on this study are aged 60 years old, the highest amount of visual acuity upon arrival is 1/300, risk factor shows that 20 out of 21 samples have systemic hypertension, and almost all of the patients come for treatment 4-6 days after the onset. Most of the samples experience no change in their visual acuity after the therapy. The conclusion that hypertension is the highest risk factor of CRAO found on this study. The majority of patients come too late for treatment which causes not improving even worsening of their visual outcome.

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Grayson Roumeliotis ◽  
Stewart Campbell ◽  
Sumit Das ◽  
Goran Darius Hildebrand ◽  
Peter Charbel Issa ◽  
...  

2019 ◽  
Vol 200 ◽  
pp. 271-272 ◽  
Author(s):  
Patrick Lavin ◽  
Morgan Patrylo ◽  
Matthew Hollar ◽  
Kiersten B. Espaillat ◽  
Howard Kirshner ◽  
...  

2018 ◽  
Vol 196 ◽  
pp. 96-100 ◽  
Author(s):  
Patrick Lavin ◽  
Morgan Patrylo ◽  
Matthew Hollar ◽  
Kiersten B. Espaillat ◽  
Howard Kirshner ◽  
...  

PLoS ONE ◽  
2015 ◽  
Vol 10 (11) ◽  
pp. e0142852 ◽  
Author(s):  
Seong Joon Ahn ◽  
Kyu Hyung Park ◽  
Na-Kyung Ryoo ◽  
Jeong-Ho Hong ◽  
Cheolkyu Jung ◽  
...  

2021 ◽  
Vol 1 (2) ◽  
pp. 7-8
Author(s):  
Nida Farida

Central retinal artery occlusion (CRAO) is a blinding event but not considered as a common emergency problem. Since awareness of the case is low, patients usually come to the ophthalmologist later than the golden period and havingthe worst prognosis. We report the case of patient with a central retinal artery occlusion that had visual improvement after emergency treatment.A 47-year-old woman with no comorbidities presented with symptoms of a sudden blurred vision, no pain or redness in the right eye (RE). Best-corrected visual acuity in the RE was 1/60. A relative afferent pupillary defect was observed in the RE. Ocular fundus examination of RE was suggestive of CRAO. Emergency treatment were performed, including rebreathing of expired CO2, ocular massage and ocular chamber paracentesis. One week later, the visual acuity was improved.This case highlights that fast and accurate response in acute management of CRAO should be conducted, especially within the golden hours which is less than 6 hours after the accident, to prevent permanent visual loss of thepatient.


2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Shinji Makino ◽  
Mikiko Takezawa ◽  
Yukihiro Sato

To our knowledge, incomplete central retinal artery occlusion associated with short posterior ciliary artery occlusion is extremely rare. Herein, we describe a case of a 62-year-old man who was referred to our hospital with of transient blindness in his right eye. At initial examination, the patient’s best-corrected visual acuity was 18/20 in the right eye. Fundus examination showed multiple soft exudates around the optic disc and mild macular retinal edema in his right eye; however, a cherry red spot on the macula was not detected. Fluorescein angiography revealed delayed dye inflow into the nasal choroidal hemisphere that is supplied by the short posterior ciliary artery. The following day, the patient’s visual acuity improved to 20/20. Soft exudates around the optic disc increased during observation and gradually disappeared. His hemodynamic parameters revealed subclavian steal syndrome as examined by cervical ultrasonography and digital subtraction angiography. We speculate that his transient blindness was due to ophthalmic artery spasms. In this particular case, spasms of the ophthalmic artery and occlusion of the short posterior ciliary artery occurred simultaneously. As the short posterior ciliary artery branches from the ophthalmic artery, the anatomical location of the lesion might be near the branching of both arteries.


2015 ◽  
Vol 6 (3) ◽  
pp. 390-393 ◽  
Author(s):  
Yoshifumi Ikeda ◽  
Ichiya Sano ◽  
Etsuko Fujihara ◽  
Masaki Tanito

A 56-year-old man was referred to our hospital about 48 h after sudden onset of painless central visual loss in his right eye (OD) on a winter morning. He had a more than 25-year history of systemic hypertension and smoking. Funduscopic observation showed striated retinal whitening in the macular region, faint cotton-wool patches around the optic disc, and segmental narrowing of the retinal arteries near the optic disc edge. Based on the pattern of onset and fundus findings, he was diagnosed with vasospastic acute central retinal artery occlusion OD, and a venous drip injection of prostaglandin E1 was started immediately. Optical coherence tomography showed bands of high and low density in the inner retina arranged alternately in the edematous area; the bands corresponded to edematous and nonedematous areas, respectively, and geographically to venules and arterioles, respectively. The best-corrected visual acuity of 0.03 at referral improved to 0.5, and the striated retinal edema and most cotton-wool patches resolved 1 month after onset. The oxygen pressure gradient in the capillary networks due to differences in the distance from the arterioles may be the mechanism of this unique periarteriolar-sparing retinal edema pattern.


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