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Klin Monbl Augenheilkd. 2021 Dec 15; doi: 10.1055/a-1653-1426. Epub 2021 Dec 15.

Diagnosing Central Retinal Artery Occlusion (CRAO) without Fundus Examination.

Klinische Monatsblatter fur Augenheilkunde

[Article in German]
Maximilian Schultheiß, Nils Alexander Steinhorst, Susanne Dippel, Martin S Spitzer, Sven Poli, Nicolas Feltgen

Affiliations

  1. Klinik und Poliklinik für Augenheilkunde, Universitätsklinikum Hamburg-Eppendorf, Deutschland.
  2. Augenklinik, Georg-August-Universität Göttingen Universitätsmedizin, Deutschland.
  3. Klinik für Neurologie, Universitätsklinikum Tübingen, Deutschland.

PMID: 34911121 DOI: 10.1055/a-1653-1426

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.

Thieme. All rights reserved.

Conflict of interest statement

Die Autorinnen/Autoren geben an, dass kein Interessenkonflikt besteht./The authors declare that they have no conflict of interest.

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