Acute central retinal artery occlusion (CRAO) is a medical emergency and patients should be rushed to an emergency department for proper management, according to a scientific statement released by the American Heart Association. and published online March 8 a Stroke.
Brian Mac Grory, MB, B.Ch., of the Duke Comprehensive Stroke Center at Duke University School of Medicine in Durham, North Carolina, and colleagues conducted a review of the literature related to CRAO management. A group of experts synthesized the data, presented considerations for practice, and reviewed the drafts until consensus was reached.
Within the framework of CRAO, two additions to the stroke code process are needed: a fundoscopic examination to confirm the diagnosis and rule out alternative causes and a detection of arteritis. Sudden, painless loss of monocular vision is the most common result of CRAO and should be highlighted in public outreach campaigns as a symptom of a potential stroke. Treatment with intravenous tissue plasminogen activator is suggested and may be considered in visually impaired patients who meet the criteria after a thorough discussion of the benefits and risks. Secondary prevention should include collaboration between neurology, ophthalmology, and primary care medicine; modification of the risk factor is recommended for secondary prevention.
“Central retinal artery occlusion is a cardiovascular problem disguised as an eye problem,” Mac Grory said in a statement. “Unfortunately, a CRAO is a warning sign of other vascular problems, so continued monitoring is critical to avoid a future stroke the attack of color “.
Several authors revealed financial links with the pharmaceutical industry.
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Citation: Central retinal artery occlusion may indicate a cardiovascular problem, according to researchers (2021, June 1), recovered June 1, 2021 at https://medicalxpress.com/news/2021- 06-central-retinal-artery-occlusion-cardiovascular.html
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