Acute Central Retinal Artery Occlusion with Hyperbaric Oxygen Therapy

Main Article Content

Chatchadaporn Kraisornpornsan
Thosporn Vimolkej
Napang Kedkovid

Abstract

           Acute central retinal artery occlusion is one of the ophthalmologic emergency conditions. Patients develop acute painless visual loss and require emergency medical treatment. Nowadays, there is not any recommended definite treatment. Nevertheless, there are many kinds of optional treatment including hyperbaric oxygen therapy, fibrinolytic agent, anterior chamber paracentesis, etc. Hyperbaric oxygen therapy is a kind of optional treatment as it provide oxygen supplementation at choroid layer. Consequently, oxygen diffusion to retina is increased. The literature of the retinal artery occlusion cases treated with hyperbaric oxygen therapy (HBOT). Overall 64% of cases have shown improvement when treated with HBOT. This article reviews anatomy and physiology of visual systems, acute central retinal artery occlusion and treatment using hyperbaric oxygen.

Article Details

Section
Academic Article

References

Schachat AP, Wilkinson CP, Hinton DR, Wiedemann P, Freund KB, Sarraf D. Ryan's retina

e-book. 6th ed. New York: Elsevier Health Sciences; 2018.

Menzel-Severing J, Siekmann U, Weinberger A, Roessler G, Walter P, Mazinani B. Early hyperbaric oxygen treatment for nonarteritic central retinal artery obstruction. American Journal of Ophthalmology 2012;153(3):454-59.

Murphy-Lavoie H, Butter FK, Hagan C. Central retinal artery occlusion. In: Gesell LB, editor. Hyperbaric oxygen therapy indications. 12th ed. The Hyperbaric Oxygen Therapy Committee Report, Durham, NC: Undersea and Hyperbaric Medical Society; 2008. p. 57-66.

Masters T, Westgard B, Hendriksen S, Walter J, Logue C. Central retinal artery occlusion treated with hyperbaric oxygen: a retrospective review. Montreal: Paper presented at UHMS Annual Scientific Meeting; 2015.

Faculty of Medicine, Chulalongkorn University. Opthalmology textbooks for medical students and general pratitioners. Bangkok: Faculty of Medicine, Chulalongkorn University; 2013. (in Thai).

Landers MB. Retinal oxygenation via the choroidal circulation. Trans Am Ophthalmol Soc 1978;76:528-56.

Justice J, Lehmann RP. Cilioretinal arteries: a study based on review of stereo fundus photographs and fluorescein angiographic findings. Arch Ophthalmol 1976;94(8):1355-8.

Marshall J, Meadows S. The natural history of amaurosis fugax. Brain 1968;91(3):419-34.

Arruga J, Sanders MD. Ophthalmologic findings in 70 patients with evidence of retinal embolism. Ophthalmology 1982;89(12):1336-47.

Graefe AV. Ueber embolie der arteria centralis retinae als Urscahe plotzlicher Erblingdung. Archiv für Ophthalmologie 1859;5(1):136-57.

Varma DD, Cugati S, Lee AW, Chen CS. A review of central retinal artery occlusion: clinical presentation and management. Eye 2013;27(6):688-97.

Hayreh SS, Podhajsky PA, Zimmerman MB. Retinal artery occlusion: associated systemic and ophthalmic abnormalities. Ophthalmology 2009;116(10):1928-36.

Chen CS, Lee AW. Management of acute central retinal artery occlusion. Nat Clin Pract Neurol 2008;4(7):376-83.

Brown GC, Magargal L, Augsburger JJ, Shields JA. Preretinal arterial loops and retinal arterial occlusion. Am J Ophthalmol 1979;87(5):646-51.

Hayreh SS, Zimmerman MB. Central retinal artery occlusion: visual outcome. Am J Ophthalmol 2005;140(3):376-91.

Hayreh SS, Piegors DJ, Heistad DD. Serotonin-induced constriction of ocular arteries in atherosclerotic monkeys: implications for ischemic disorders of the retina and optic nerve head. Arch Ophthalmol 1997;115(2):220-8.

Alwitry A, Holden R. One hundred transient monocular central retinal artery occlusions secondary to giant cell arteritis. Arch Ophthalmol 2003;121(12):1802-3.

Brown GC, Magargal LE. Central retinal artery obstruction and visual acuity. Ophthalmology 1982;89(1):14-9.

Duker JS, Brown GC. Iris neovascularization associated with obstruction of the central retinal artery. Ophthalmology 1988;95(9):1244-50.

Nettleship E. Unusual appearances in a case of retinal embolism about 30 hours after its occurrence. In: Festschrift zur Feier Siebzigsten Geburtstage, vol. 7. Stuttgardt: Hermannvon Helmholz; 1891. p. 7–8.

Koh V, Cheung CY, Li X, Tian D, Wang JJ, Mitchell P, Cheng CY, Wong TY. Retinal vein occlusion in a multi-ethnic Asian population: the Singapore Epidemiology of Eye Disease Study. Ophthalmic Epidemiol 2016;23(1):6-13.

Yasuda M, Kiyohara Y, Arakawa S, Hata Y, Yonemoto K, Doi Y, et al. Prevalence and systemic risk factors for retinal vein occlusion in a general Japanese population: the Hisayama study. Invest Ophthalmol Vis Sci 2010;51(6):3205-9.

Hayreh SS, Kolder HE, Weingeist TA. Central retinal artery occlusion and retinal tolerance time. Ophthalmology 1980;87(1):75-8.

Hayreh SS. Central retinal artery occlusion. In: Hayreh SS, editor. Ocular vascular occlusive disorders. New York: Springer International Publishing; 2015. p. 239-305.

Rumelt S, Dorenboim Y, Rehany U. Aggressive systematic treatment for central retinal artery occlusion. Am J Ophthalmol 1999;128(6):733-8.

Fraser SG, Siriwardena D. Interventions for acute non-arteritic central retinal artery occlusion. Cochrane Database Syst Rev 2002 January 21. https://doi.org/10.1002/ 14651858.CD001989.

Opremcak E, Rehmar AJ, Ridenour CD, Borkowski LM, Kelley JK. Restoration of retinal blood flow via translumenal Nd: YAG embolysis/embolectomy (TYL/E) for central and branch retinal artery occlusion. Retina 2008;28(2):226-35.

Schumacher M, Schmidt D, Jurklies B. Gall C, Wanke I, Schmoor C, et al. Central retinal artery occlusion: local intra-arterial fibrinolysis versus conservative treatment, a multicenter randomized trial. Ophthalmology 2010;117(7):1367-75.

Canan H, Ulas B, Altan-Yaycioglu R. Hyperbaric oxygen therapy in combination with systemic treatment of sickle cell disease presenting as central retinal artery occlusion: a case report. J Med Case Rep 2014 Nov 17;8:370. doi: 10.1186/1752-1947-8-370.

Hertzog LM, Meyer GW, Carson S, Strauss MB, Hart GB. Central retinal artery occlusion treated with hyperbaric oxygen. Journal of Hyperbaric Medicine 1992;7(1):33-42.

Murphy-Lavoie H, Butler F, Hagan C. Central retinal artery occlusion treated with oxygen: a literature review and treatment algorithm. Undersea Hyperb Med 2012;39(5):943-53.

Butler Jr FK, Hagan C, Murphy-Lavoie H. Hyperbaric oxygen therapy and the eye. Undersea Hyperb Med 2008;35(5):333-87.