How would you manage an acute occlusion of the retinal artery ?
• Lie the patient in a supine position to ensure adequate circulation.
• Apply intermittent ocular massage for 15 minutes to dislodge the emboli, lower intraocular pressure and improve circulation.
• Intravenous acetazolamide to lower intraocular pressure.
• Inhalation of a mixture of 5% carbon dioxide and 95% oxygen.
• Anterior chamber paracentesis.
If the investigation of a patient with amaurosis fugax provides no evidence of carotid artery disease, embolism or other recognized causes of the disorder, then the diag-nosis by exclusion should be vasospasm. In such cases a calcium channel blocker should be tried.
Lexo edhe:
• Lie the patient in a supine position to ensure adequate circulation.
• Apply intermittent ocular massage for 15 minutes to dislodge the emboli, lower intraocular pressure and improve circulation.
• Intravenous acetazolamide to lower intraocular pressure.
• Inhalation of a mixture of 5% carbon dioxide and 95% oxygen.
• Anterior chamber paracentesis.
If the investigation of a patient with amaurosis fugax provides no evidence of carotid artery disease, embolism or other recognized causes of the disorder, then the diag-nosis by exclusion should be vasospasm. In such cases a calcium channel blocker should be tried.
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Lexo edhe: