Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Comparative Study
. 2017 Jan-Feb;6(1):37-39.
doi: 10.22608/APO.201690.

Practice Patterns After Acute Embolic Retinal Artery Occlusion

Anne S Abel  1 , Sandip Suresh  1 , Haitham M Hussein  2 , Adam F Carpenter  3 , Sandra R Montezuma  1 , Michael S Lee  1   3   4
Affiliations
Free article
Comparative Study

Practice Patterns After Acute Embolic Retinal Artery Occlusion

Anne S Abel et al. Asia Pac J Ophthalmol (Phila). 2017 Jan-Feb.
Free article

Abstract

Purpose: To compare stroke evaluations recommended by retina special-ists and neurologists for retinal artery occlusion (RAO).

Design: A cross-sectional survey.

Methods: An anonymous survey was emailed to members of the American Academy of Neurology Stroke Section listserv and vitreoretinal specialists registered with the American Academy of Ophthalmology. The survey was divided based on duration of symptoms before encounter: less than 12 hours, 24-48 hours, and more than 1 week. Institutional review board approval was obtained before data collection.

Results: Four hundred forty-eight surveys were completed (281 retinologists and 167 neurologists). Within 12 hours of RAO, most neurologists (75%) pursue a hospital-based evaluation, whereas the majority of retinologists (82%) pursue outpatient workup (P < 0.0001). Most neurologists (92%) and retinologists (98%) pursue outpatient stroke workup if symptoms have been present for more than 7 days.

Conclusions: Neurologists pursue higher acuity care after RAO, whereas most retinologists order outpatient evaluations. Retina specialists should consider urgent stroke evaluation to mitigate stroke risk factors.

Keywords: central retinal artery occlusion; evaluation; management; neuroimaging; stroke; workup.

PubMed Disclaimer

Publication types