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Intra-arterial Thrombolysis for Central Retinal Artery Occlusion: Two Cases Report

2010; Korean Academy of Medical Sciences; Volume: 25; Issue: 6 Linguagem: Inglês

10.3346/jkms.2010.25.6.974

1598-6357

Gyojun Hwang, Se Joon Woo, Cheolkyu Jung, Kyu Hyung Park, Jeong‐Min Hwang, O-Ki Kwon,

Retinal Imaging and Analysis

Central retinal artery occlusion (CRAO) causes severe visual loss in affected eye and vision does not recover in more than 90% of the patients.It is believed that it occurs by occlusion of the central retinal artery with small emboli from atherosclerotic plaque of internal cerebral artery.Retina is a part of the brain, thus basically CRAO is corresponding to acute occlusion of intracerebral artery and retinal ischemia is to cerebral stroke.Therefore, intra-arterial thrombolysis (IAT) has been considered as a treatment method in CRAO.Recently, we treated 2 patients diagnosed as CRAO and could achieve complete recanalization on fundus fluorescein angiogram with IAT.Of them, one recovered visual acuity to 20/25.We report our 2 CRAO cases treated with IAT and discuss technical aspects for IAT and management of patient.To the best of our knowledge, this is the first Korean report of IAT for CRAO.