Klin Monbl Augenheilkd 2022; 239(03): 288-292
DOI: 10.1055/a-1653-1426
Kasuistik

Diagnosing Central Retinal Artery Occlusion (CRAO) without Fundus Examination

Artikel in mehreren Sprachen: deutsch | English
Maximilian Schultheiß*
1   Klinik und Poliklinik für Augenheilkunde, Universitätsklinikum Hamburg-Eppendorf, Deutschland
,
Nils Alexander Steinhorst*
1   Klinik und Poliklinik für Augenheilkunde, Universitätsklinikum Hamburg-Eppendorf, Deutschland
,
Susanne Dippel
2   Augenklinik, Georg-August-Universität Göttingen Universitätsmedizin, Deutschland
,
Martin S. Spitzer
1   Klinik und Poliklinik für Augenheilkunde, Universitätsklinikum Hamburg-Eppendorf, Deutschland
,
Sven Poli
3   Klinik für Neurologie, Universitätsklinikum Tübingen, Deutschland
,
Nicolas Feltgen
2   Augenklinik, Georg-August-Universität Göttingen Universitätsmedizin, Deutschland
› Institutsangaben

Abstract

In the field of ophthalmology, central retinal artery occlusion is still one of the unsolved pathologies, as there is no widely accepted evidence-based therapeutic concept. Meta-analysis suggests that intravenous fibrinolysis might help to improve the outcome if performed within the first 4.5 hours after symptom onset. However, this short window of opportunity is often missed due to delays during diagnostic testing (e.g. time elapsed before performance of an ophthalmological examination) or patient-processing (referring the patient to a specialized medical facility). This article presents a diagnostic tool in the form of a simple questionnaire, comprising a medical history and examinations, which could help to minimize the time required to initiate the appropriate treatment.

* First authors.




Publikationsverlauf

Eingereicht: 03. März 2021

Angenommen: 21. September 2021

Artikel online veröffentlicht:
15. Dezember 2021

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