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Retinal artery occlusion - Treatment

Alternative Names

Central retinal artery occlusion; Branch retinal artery occlusion; CRAO; BRAO

Treatment:

Breathing in (inhaling) a carbon dioxide-oxygen mixture has been used to treat blockages in the arteries. This treatment causes the arteries of the retina to widen (dilate). It may allow the clot to move down the artery and sometimes break up, which reduces the area of the retina that is affected.

The health care provider should look for the cause of the blockage. Blockages may be signs of a life-threatening medical problem. Patients with retinal artery occlusions should be screened for:

  • Cranial arteritis
  • Carotid artery blockage
  • Heart rhythm disturbances
  • Heart valve disease
  • High blood pressure

The use of the clot-busting drug, tissue plasminogen activator (tPA), within a few hours of retinal artery occlusion may be helpful.

Expectations (prognosis):

People with blockages of the retinal artery may not get their vision back.

Complications:

  • Partial or complete loss of vision in the affected eye
  • Similar problem occurring again in the same or the other eye
  • Stroke

Calling your health care provider:

Call your health care provider if you have sudden blurring or vision loss.

  • Reviewed last on: 4/22/2008
  • Andrew A. Dahl, MD, F.A.C.S., Director of Ophthalmology Training, Institute for Family Health, Assistant Professor of Ophthalmology, New York College of Medicine, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Vortmann M, Schneider JI. Acute monocular visual loss. Emerg Med Clin North Am. 2008;26:73-96.

Pokhrel PK, Loftus SA. Ocular emergencies. Am Fam Physician. 2007;76:829-836.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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