Progress in central retinal artery occlusion: a narrative review
Central retinal artery occlusion (CRAO) is a catastrophic ophthalmic emergency that severely impairs a patient’s visual function, often reducing visual acuity to counting fingers or worse. Progress in CRAO research has provided new information regarding its epidemiological characteristics and led to...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2023-09-01
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| Series: | Journal of International Medical Research |
| Online Access: | https://doi.org/10.1177/03000605231198388 |
| _version_ | 1797683409418452992 |
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| author | Weishai Liu Dan Bai Lieling Kou |
| author_facet | Weishai Liu Dan Bai Lieling Kou |
| author_sort | Weishai Liu |
| collection | DOAJ |
| description | Central retinal artery occlusion (CRAO) is a catastrophic ophthalmic emergency that severely impairs a patient’s visual function, often reducing visual acuity to counting fingers or worse. Progress in CRAO research has provided new information regarding its epidemiological characteristics and led to useful assessments through various ophthalmic examinations. Additional insights about CRAO have been gained through studies of its pathophysiological mechanisms, improving intervention timing and enhancing patient prognosis. Treatment for CRAO has evolved, particularly with assistance from surgical instruments and surgical robots. Although surgical treatment is now possible, this option is not widely recognized by ophthalmologists. Conservative therapies have limited benefits compared with the natural course of disease. Recently, pars plana vitrectomy plus endovascular surgery has received considerable interest among ophthalmologists because of its potential efficacy in the treatment of CRAO. Considering the inconsistencies in rationale and efficacy of CRAO treatment modalities, it is important to distinguish between treatment effects and the natural courses of various CRAO subclasses. This narrative review explores progress in CRAO epidemiology, pathophysiology, ophthalmic examination, and treatment. |
| first_indexed | 2024-03-12T00:14:02Z |
| format | Article |
| id | doaj.art-5a4926a44eba40f4af358e952b2dcc38 |
| institution | Directory Open Access Journal |
| issn | 1473-2300 |
| language | English |
| last_indexed | 2024-03-12T00:14:02Z |
| publishDate | 2023-09-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of International Medical Research |
| spelling | doaj.art-5a4926a44eba40f4af358e952b2dcc382023-09-15T17:33:43ZengSAGE PublishingJournal of International Medical Research1473-23002023-09-015110.1177/03000605231198388Progress in central retinal artery occlusion: a narrative reviewWeishai LiuDan BaiLieling KouCentral retinal artery occlusion (CRAO) is a catastrophic ophthalmic emergency that severely impairs a patient’s visual function, often reducing visual acuity to counting fingers or worse. Progress in CRAO research has provided new information regarding its epidemiological characteristics and led to useful assessments through various ophthalmic examinations. Additional insights about CRAO have been gained through studies of its pathophysiological mechanisms, improving intervention timing and enhancing patient prognosis. Treatment for CRAO has evolved, particularly with assistance from surgical instruments and surgical robots. Although surgical treatment is now possible, this option is not widely recognized by ophthalmologists. Conservative therapies have limited benefits compared with the natural course of disease. Recently, pars plana vitrectomy plus endovascular surgery has received considerable interest among ophthalmologists because of its potential efficacy in the treatment of CRAO. Considering the inconsistencies in rationale and efficacy of CRAO treatment modalities, it is important to distinguish between treatment effects and the natural courses of various CRAO subclasses. This narrative review explores progress in CRAO epidemiology, pathophysiology, ophthalmic examination, and treatment.https://doi.org/10.1177/03000605231198388 |
| spellingShingle | Weishai Liu Dan Bai Lieling Kou Progress in central retinal artery occlusion: a narrative review Journal of International Medical Research |
| title | Progress in central retinal artery occlusion: a narrative review |
| title_full | Progress in central retinal artery occlusion: a narrative review |
| title_fullStr | Progress in central retinal artery occlusion: a narrative review |
| title_full_unstemmed | Progress in central retinal artery occlusion: a narrative review |
| title_short | Progress in central retinal artery occlusion: a narrative review |
| title_sort | progress in central retinal artery occlusion a narrative review |
| url | https://doi.org/10.1177/03000605231198388 |
| work_keys_str_mv | AT weishailiu progressincentralretinalarteryocclusionanarrativereview AT danbai progressincentralretinalarteryocclusionanarrativereview AT lielingkou progressincentralretinalarteryocclusionanarrativereview |