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Central retinal artery occlusion or retinal stroke: a neurosonologist's perspective.
Taroza, Saulius; Jatuzis, Dalius; Matijosaitis, Vaidas; Raugele, Saulius; Valaikiene, Jurgita.
Affiliation
  • Taroza S; Laboratory of Behavioral Medicine, Neuroscience Institute, Lithuanian University of Health Sciences, Palanga, Lithuania.
  • Jatuzis D; Klaipeda University Hospital, Klaipeda, Lithuania.
  • Matijosaitis V; Clinic of Neurology and Neurosurgery, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.
  • Raugele S; Department of Neurology, Lithuanian University of Health Sciences, Kaunas, Lithuania.
  • Valaikiene J; Klaipeda University Hospital, Klaipeda, Lithuania.
Front Neurol ; 15: 1397751, 2024.
Article in En | MEDLINE | ID: mdl-38915799
ABSTRACT
In central retinal artery occlusion (CRAO) or retinal stroke, which is usually a vision-threatening condition, timely diagnosis is imperative to improve the chances of retinal preservation and to establish adequate secondary prevention measures. Even though retinal strokes have been traditionally assigned to the field of ophthalmology, while considering reperfusion therapy as the only way to avoid permanent vision loss, we suggest prompt evaluation of CRAO causes (primarily related to cardiovascular risk factors) performed by a well-organized interdisciplinary team (ophthalmologist and neurologist) in a neurovascular center with stroke expertise. Therefore, the most suitable adjunct method for rapidly diagnosing non-arteritic CRAO could be target transorbital ultrasound, performed by an experienced neurologist/neurosonologist in the stroke unit. Consequently, after an ophthalmological assessment, a final decision on thrombolytic therapy could be made. We accept that further research is obviously needed to determine whether transorbital ultrasound could replace ophthalmological investigation in the case of a suspected acute retinal stroke. We assert that retinal stroke requires interdisciplinary treatment in cooperation with neurologists and ophthalmologists, with an additive value for each to achieve the best results for the patient.
Key words

Full text: 1 Collection: 01-internacional Database: MEDLINE Language: En Journal: Front Neurol Year: 2024 Document type: Article Affiliation country: Lithuania Country of publication: Switzerland

Full text: 1 Collection: 01-internacional Database: MEDLINE Language: En Journal: Front Neurol Year: 2024 Document type: Article Affiliation country: Lithuania Country of publication: Switzerland