Document Detail


Intra-arterial thrombolysis for central retinal artery occlusion: two cases report.
MedLine Citation:
PMID:  20514326     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Gyojun Hwang; Se Joon Woo; Cheolkyu Jung; Kyu Hyung Park; Jeong-Min Hwang; O-Ki Kwon
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-05-24
Journal Detail:
Title:  Journal of Korean medical science     Volume:  25     ISSN:  1598-6357     ISO Abbreviation:  J. Korean Med. Sci.     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-06-01     Completed Date:  2010-09-08     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  8703518     Medline TA:  J Korean Med Sci     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  974-9     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, Chuncheon Sacred Heart Hospital, Hallym University, Chuncheon, Korea.
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MeSH Terms
Descriptor/Qualifier:
Aged
Electroretinography
Fibrinolytic Agents / therapeutic use*
Fluorescein Angiography
Humans
Male
Middle Aged
Platelet Aggregation Inhibitors / therapeutic use
Retinal Artery Occlusion / diagnosis,  drug therapy*
Thrombolytic Therapy
Urokinase-Type Plasminogen Activator / therapeutic use*
Visual Acuity
Chemical
Reg. No./Substance:
0/Fibrinolytic Agents; 0/Platelet Aggregation Inhibitors; EC 3.4.21.73/Urokinase-Type Plasminogen Activator
Comments/Corrections

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