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Retinal artery occlusion - Treatment

Alternative Names

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

Treatment:

There is no proven treatment for vision loss that involves the whole eye, unless it is caused by another illness that can be treated.

Several treatments may be tried. These treatments must be given within 2 - 4 hours after symptoms begin to be helpful. However, the benefit of these treatments has never been proven, and they are rarely used.

  • Breathing in (inhaling) a carbon dioxide-oxygen mixture. This treatment causes the arteries of the retina to widen (dilate).
  • Massage of the eye
  • The clot-busting drug, tissue plasminogen activator (tPA)

The health care provider should look for the cause of the blockage. Blockages may be signs of a life-threatening medical problem.

Expectations (prognosis):

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

Complications:

  • Glaucoma (CRAO only)
  • Partial or complete loss of vision in the affected eye
  • Stroke (due to the same factors that contribute to retinal artery occlusion, not due to the occlusion itself)

Calling your health care provider:

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

  • Reviewed last on: 4/15/2010
  • David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Duker JS. Retinal arterial occlusion. In: Yanoff M, Duker JS, eds. Ophthalmology. 3rd ed. Maryland Heights, Mo: Mosby Elsevier;2008:chap 6.16.

Fay A. Diseases of the visual system. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier;2007:chap 449.

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

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

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