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Thrombolysis for central retinal artery occlusion

¹ The National Hospital for Neurology and Neurosurgery, Queen Square, London WC1, UK
² Department of Ophthalmology, University Hospital Zurich, Frauenklinikstrasse 24, Zurich, Switzerland

Correspondence to:
Correspondence to:
Gordon T Plant
Department of Neurology, The National Hospital for Neurology and Neurosurgery, Queen Square, London WC1N 3BG, UK; gordon@plant.globalnet.co.uk

Keywords: thrombolysis; central retinal artery occlusion

The first 150 words of the full text of this article appear below.

Central retinal artery occlusion is an uncommon cause of unilateral visual loss and a rare cause of blindness. In this issue (see pp 196–9), Arnold et al¹ describe a retrospective analysis of intra-arterial thrombolysis (IAT) of central retinal artery occlusion within six hours of symptom onset in 37 patients. The visual outcome was compared with 19 control patients. Before treatment, cranial computed tomography was carried out (to exclude intracranial haemorrhage), along with four vessel angiography. The cases are divided into those with local thrombotic causes (73%), cardioembolism (24%), and carotid stenosis (3%). The classification was based on the TOAST criteria,² which were developed for the evaluation of cerebral strokes where there is no possibility of observing the embolus. One third of patients seen within six hours could not be treated because no neuroradiologist was available. Periprocedural adverse events occurred in two patients who experienced transient . . . [Full text of this article]

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Comparison of intra-arterial thrombolysis with conventional treatment in patients with acute central retinal artery occlusion

M Arnold, U Koerner, L Remonda, K Nedeltchev, H P Mattle, G Schroth, M Sturzenegger, J Weber, and F Koerner
J. Neurol. Neurosurg. Psychiatry 2005 76: 196-199. [Abstract] [Full Text] [PDF]

This article has been cited by other articles:

				J Noble, N Weizblit, M O Baerlocher, and K T Eng Intra-arterial thrombolysis for central retinal artery occlusion: a systematic review Br. J. Ophthalmol., May 1, 2008; 92(5): 588 - 593. [Abstract] [Full Text] [PDF]