When should you seek hyperbaric oxygen therapy for patients with CRAO?
Is emergency transfer warranted for this indication?
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Do you discuss/offer hyperbaric oxygen therapy for patients who present with a CRAO within 24 hours of symptom onset?
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2 Answers
Mednet Member
Neurology · Advocate Medical Group Neurology
Answered on
I usually pursue hyperbaric oxygen therapy within the 24-hour window from symptom onset for CRAO. This can be performed following TNK if given.
In reality, though, there are multiple barriers to achieving this, including:
- Few centers offer hyperbaric oxygen therapy
- Labor intensive
- Difficulty with i...
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Mednet Member
Ophthalmology · University of Arkansas for Medical Sciences, Fayetteville Campus
Answered on
Lacking the availability of HBO, if it is within 48 hours, I start them on Ocufolin, a medical food for retinal ischemia. It was developed for diabetic retinopathy. I published a single patient case report that had an improved outcome. It reduces retinal venous pressure and probably improves choroid...
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