Update on the Management of Central Retinal Artery Occlusion

Michael Dattilo; Valérie Biousse; Nancy J Newman

doi:10.1016/j.ncl.2016.08.013

Update on the Management of Central Retinal Artery Occlusion

Neurol Clin. 2017 Feb;35(1):83-100. doi: 10.1016/j.ncl.2016.08.013.

Authors

Michael Dattilo¹, Valérie Biousse², Nancy J Newman³

Affiliations

¹ Department of Ophthalmology, Emory University School of Medicine, 1365-B Clifton Road, Northeast, Atlanta, GA 30322, USA; Neuro-Ophthalmology, Emory Eye Center, 1365-B Clifton Road, Northeast, Atlanta, GA 30322, USA.
² Department of Ophthalmology, Emory University School of Medicine, 1365-B Clifton Road, Northeast, Atlanta, GA 30322, USA; Neuro-Ophthalmology, Emory Eye Center, 1365-B Clifton Road, Northeast, Atlanta, GA 30322, USA; Department of Neurology, Emory University School of Medicine, 12 Executive Park Drive, Northeast, Atlanta, GA 30329, USA. Electronic address: vbiouss@emory.edu.
³ Department of Ophthalmology, Emory University School of Medicine, 1365-B Clifton Road, Northeast, Atlanta, GA 30322, USA; Neuro-Ophthalmology, Emory Eye Center, 1365-B Clifton Road, Northeast, Atlanta, GA 30322, USA; Department of Neurology, Emory University School of Medicine, 12 Executive Park Drive, Northeast, Atlanta, GA 30329, USA; Department of Neurological Surgery, Emory University School of Medicine, Atlanta, GA 30322, USA.

PMID: 27886897
DOI: 10.1016/j.ncl.2016.08.013

Abstract

Central retinal artery occlusion (CRAO) is caused by partial or complete occlusion of the central retinal artery, most commonly by an embolus from the ipsilateral carotid artery, aortic arch, or heart, and is the ocular equivalent of an acute cerebral ischemic event. The risk factors for a CRAO and acute cerebral ischemia are very similar, if not identical. Because no current therapeutic intervention has been shown to improve visual outcomes compared with the natural history of CRAO, management of CRAO should be focused on secondary prevention of vascular events, such as cerebral ischemia, myocardial infarction, and cardiovascular death.

Keywords: Branch retinal artery occlusion; Central retinal artery occlusion; Ischemia; Management; Stroke; Thrombolysis; Treatment.

Publication types

Review
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

MeSH terms

Cerebral Infarction / complications*
Humans
Retinal Artery Occlusion* / complications
Retinal Artery Occlusion* / diagnosis
Retinal Artery Occlusion* / etiology
Retinal Artery Occlusion* / therapy
Risk Factors

Abstract

Publication types

MeSH terms

Grants and funding