Branch Retinal Artery Occlusion Treatment & Management

Updated: Apr 06, 2016
  • Author: Niraj R Nathan, MD; Chief Editor: Hampton Roy, Sr, MD  more...
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Treatment

Medical Care

Considering the increased rate of mortality, patients with branch retinal artery obstruction (BRAO) should receive a full medical workup with special attention to the cerebrovascular and cardiovascular system. Depending on the findings, carotid endarterectomy or anticoagulation may be indicated. Laboratory workup for coagulopathies should also be performed if no embolic source is found.

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Surgical Care

Surgical embolus excision has been described in a few case reports, with the authors reporting good visual outcome and safety. [23, 24] Given the natural history of frequent spontaneous visual improvement and generally good visual outcome in untreated BRAO, further investigation with a randomized controlled trial is likely needed to validate surgical embolus excision as a treatment option in BRAO.

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Consultations

Refer to an internist for complete systemic workup.

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