Abstract | BACKGROUND:
Central retinal artery occlusion causes severe loss of vision. Treatment trials include massage of the globe, paracentesis, antiglaucomatous eye drops, haemodilution or lysis therapy, which in individual cases did improve the visual outcome, although in general the prognosis remains poor. In this study we applied hyperbaric oxygenation treatment additionally to haemodilution to overcome retinal ischaemia until spontaneous recanalisation of the central retinal artery occurs. PATIENTS AND METHODS: RESULTS: 21 patients could be included. The time lag between onset of symptoms and admission was between 4 and 12 h. Initial visual acuity ranged from light perception to 0.08. On discharge 19 patients reported on a subjective visual improvement which could be confirmed in 13 patients. In 9 patients an initial increase of visual acuity under hyperbaric oxygenation treatment could be observed which however was again reduced by at least one line on discharge. No patient experienced vision loss below admission vision. CONCLUSIONS:
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Authors | Andreas W A Weinberger, Ullrich P F Siekmann, Sebastian Wolf, Rolf Rossaint, Bernd Kirchhof, Norbert F Schrage |
Journal | Klinische Monatsblatter fur Augenheilkunde
(Klin Monbl Augenheilkd)
Vol. 219
Issue 10
Pg. 728-34
(Oct 2002)
ISSN: 0023-2165 [Print] Germany |
Vernacular Title | Behandlung akuter retinaler Zentralarterienverschlüsse (ZAV) mit der hyperbaren Sauerstofftherapie (HBO)--Pilotstudie an 21 Patienten. |
PMID | 12447717
(Publication Type: English Abstract, Journal Article)
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Topics |
- Acute Disease
- Adult
- Aged
- Aged, 80 and over
- Combined Modality Therapy
- Female
- Fluorescein Angiography
- Hemodilution
- Humans
- Hyperbaric Oxygenation
(instrumentation)
- Male
- Massage
- Middle Aged
- Pilot Projects
- Retinal Artery Occlusion
(diagnosis, therapy)
- Retrospective Studies
- Treatment Outcome
- Visual Acuity
(physiology)
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