Central retinal artery occlusion: Difference between revisions
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#Inflammatory Endarteritis | #Inflammatory Endarteritis | ||
==Epidemiology== | ===Epidemiology=== | ||
#Bilateral 1-2% | #Bilateral 1-2% | ||
#M>F | #M>F | ||
| Line 20: | Line 20: | ||
==Exam== | ==Exam== | ||
#Pale retina with edema | |||
#Cherry red spot at the macula | |||
#APD | |||
#Boxcar segmentation of blood column | |||
==Workup== | |||
#Fundoscopic exam | |||
#CBC, ESR, EKG | |||
== | |||
Fundoscopic exam | |||
CBC, ESR, EKG | |||
==Treatment== | ==Treatment== | ||
# Ocular massage | |||
# Anterior chamber paracentesis | |||
# Intraarterial fibrinolysis | |||
# Acetazolamide | |||
# Mannitol | |||
# Timolol | |||
# Steroids | |||
# Hyperbarics (most effective if within 2-12h of presentation) | |||
==Dispo== | ==Dispo== | ||
Admit: comorbid disease | Admit: comorbid disease | ||
D/C: f/u with ophtho in 1-4 weeks | D/C: f/u with ophtho in 1-4 weeks | ||
==Source== | ==Source== | ||
H-N | H-N | ||
[[Category:Ophtho]] | [[Category:Ophtho]] | ||
Revision as of 10:42, 29 March 2011
Background
Etiology
- Retinal Embolism (20%)
- Atherosclerotic changes
- Angiospasm
- Inflammatory Endarteritis
Epidemiology
- Bilateral 1-2%
- M>F
Symptoms
Painless, monocular loss of vision
DDx
- Amaurosis fugax (painless, fleeting; nl exam)
- CRVO (painless, over hours; blood and thunder)
- Temporal Arteritis
- Acute glaucoma (blurry vision, eye pain)
Exam
- Pale retina with edema
- Cherry red spot at the macula
- APD
- Boxcar segmentation of blood column
Workup
- Fundoscopic exam
- CBC, ESR, EKG
Treatment
- Ocular massage
- Anterior chamber paracentesis
- Intraarterial fibrinolysis
- Acetazolamide
- Mannitol
- Timolol
- Steroids
- Hyperbarics (most effective if within 2-12h of presentation)
Dispo
Admit: comorbid disease
D/C: f/u with ophtho in 1-4 weeks
Source
H-N