Vitrectomy combined with optic disc massage in the treatment of central retinal artery occlusion: a case report

Central retinal artery occlusion (CRAO) is an ocular emergency that causes sudden blindness, which is more commonly seen in elderly patients aged over 40 years complicated with cardiovascular disease. Once CRAO occurs, corresponding measures should be taken immediately. The prognosis of CRAO is gene...

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Bibliographic Details
Main Author: Li Jiangling, Chang Lu, Li Shuchan, Chen Haisu, Gao Rongyu, Zhang Jie, Sun Xianyong
Format: Article
Language:zho
Published: Editorial Office of Journal of New Medicine 2023-04-01
Series:Xin yixue
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Online Access:https://www.xinyixue.cn/fileup/0253-9802/PDF/1683603434544-1461721363.pdf
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Summary:Central retinal artery occlusion (CRAO) is an ocular emergency that causes sudden blindness, which is more commonly seen in elderly patients aged over 40 years complicated with cardiovascular disease. Once CRAO occurs, corresponding measures should be taken immediately. The prognosis of CRAO is generally poor, which is related to the ischemia, hypoxia, degeneration and necrosis of the retinal tissues in a relatively short period of time after the onset of this disease. CRAO patients suffer from poor recovery of visual acuity. Common treatments, such as intraocular pressure lowering, vascular dilation and oxygen therapy, yield low clinical efficacy, and thrombolytic therapy carries the risk of serious complications, such as fundus hemorrhage and cerebral hemorrhage. In this study, the 72-year-old male patient was treated by vitrectomy combined with optic disc massage. Postoperative visual acuity was significantly improved and satisfactory clinical efficacy was obtained. This therapeutic method has multiple advantages of strong feasibility, mild trauma and few complications, providing a new idea for the treatment of CRAO.
ISSN:0253-9802