Do Patients With Retinal Artery Occlusion Need Urgent Neurologic Evaluation?

被引:18
作者
Hayreh, Sohan Singh [1 ]
机构
[1] Univ Iowa, Coll Med, Dept Ophthalmol & Visual Sci, Iowa City, IA USA
基金
美国国家卫生研究院;
关键词
ACUTE ISCHEMIC-STROKE; CAROTID-ENDARTERECTOMY; RISK; INFARCTION; GUIDELINES; MANAGEMENT; DISORDERS; PROGNOSIS;
D O I
10.1016/j.ajo.2018.08.015
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
PURPOSE: To describe a framework for logical, immediate action to manage patients with retinal artery occlusion. DESIGN: Literature review and perspective. METHODS: Review of the literature and the author's experience. RESULTS: Since embolism is the most common factor causing retinal artery occlusion, to manage these patients, immediate evaluation and management of the source of embolism is critical to prevent further episodes. CONCLUSIONS: The logical, immediate action to manage patients with retinal artery occlusion is evaluation of the carotid artery and heart for embolism, fasting lipid levels and a complete blood count, rather than neurological evaluation, unless, of course, there are neurological symptoms. (C) 2018 Elsevier Inc. All rights reserved.
引用
收藏
页码:53 / 56
页数:4
相关论文
共 27 条
[1]  
Abel AS, 2017, ASIA-PAC J OPHTHALMO, V6, P37, DOI 10.22608/APO.201690
[2]   Translation of Clinical Studies to Clinical Practice: Survey on the Treatment of Central Retinal Artery Occlusion [J].
Atkins, Edward J. ;
Bruce, Beau B. ;
Newman, Nancy J. ;
Blousse, Valerie .
AMERICAN JOURNAL OF OPHTHALMOLOGY, 2009, 148 (01) :172-173
[3]   Acute Retinal Arterial Ischemia: An Emergency Often Ignored [J].
Biousse, Valerie .
AMERICAN JOURNAL OF OPHTHALMOLOGY, 2014, 157 (06) :1119-1121
[4]  
Brown SM, 2014, AM J OPHTHALMOL, V158, P1353, DOI 10.1016/j.ajo.2014.08.033
[5]   Cardiovascular Risk Factors in Central Retinal Artery Occlusion Results of a Prospective and Standardized Medical Examination [J].
Callizo, Josep ;
Feltgen, Nicolas ;
Pantenburg, Stefanie ;
Wolf, Armin ;
Neubauer, Aljoscha Steffen ;
Jurklies, Bernhard ;
Wachter, Rolf ;
Schmoor, Claudia ;
Schumacher, Martin ;
Junker, Bernd ;
Pielen, Amelie .
OPHTHALMOLOGY, 2015, 122 (09) :1881-1888
[6]   Retinal Artery Occlusion and the 3-Year Risk of Stroke in Taiwan: A Nationwide Population-Based Study [J].
Chang, Yuh-Shin ;
Jan, Ren-Long ;
Weng, Shih-Feng ;
Wang, Jhi-Joung ;
Chio, Chung-Ching ;
Wei, Fu-Tsung ;
Chu, Chin-Chen .
AMERICAN JOURNAL OF OPHTHALMOLOGY, 2012, 154 (04) :645-652
[7]   SURVIVAL PROGNOSIS OF PATIENTS WITH RETINAL ARTERY-OCCLUSION AND ASSOCIATED CAROTID-ARTERY DISEASE [J].
DEPOTTER, P ;
ZOGRAFOS, L .
GRAEFES ARCHIVE FOR CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY, 1993, 231 (04) :212-216
[8]   The fate of patients with retinal artery occlusion and Hollenhorst plaque [J].
Dunlap, Allan B. ;
Kosmorsky, Gregory S. ;
Kashyap, Vikram S. .
JOURNAL OF VASCULAR SURGERY, 2007, 46 (06) :1125-1129
[9]   Silent Brain Infarctions and Leukoaraiosis in Patients With Retinal Ischemia A Prospective Single-Center Observational Study [J].
Golsari, Amir ;
Bittersohl, Diana ;
Cheng, Bastian ;
Griem, Pia ;
Beck, Christoph ;
Hassenstein, Andrea ;
Nedelmann, Max ;
Magnus, Tim ;
Fiehler, Jens ;
Gerloff, Christian ;
Thomalla, Goetz .
STROKE, 2017, 48 (05) :1392-+
[10]   PROGNOSIS AND PROGNOSTIC FACTORS OF RETINAL INFARCTION - A PROSPECTIVE COHORT STUDY [J].
HANKEY, GJ ;
SLATTERY, JM ;
WARLOW, CP .
BMJ-BRITISH MEDICAL JOURNAL, 1991, 302 (6775) :499-504