Occlusion of the Central retinal artery

Occlusion of the Central retinal arteryOCCLUSION of the CENTRAL RETINAL ARTERY - clogging the stem of the Central artery of the retina due to spasm, embolism or thrombosis. Symptoms: Sudden sharp deterioration or loss of vision. The fundus of the eye is a milky-white color with a yellow spot seems dark red (the so-called symptom of a cherry pit). The retinal arteries are narrowed significantly, the veins are narrowed less. When pressing on the eyeball, pulsation vessels on the optic disc is not observed. The disc is pale, its boundaries are unclear because of peripapillary edema. The process outcome is usually atrophy of the optic nerve and macular degeneration. Still has a small peripheral vision. In case of occlusion of the Central artery branches falls, a corresponding portion of the field of view. In the presence of cilioretinal artery papillomacular region has normal color and visual acuity can be restored even to 1.0. Treatment. Apply vasodilator and anti funds. During the first week of illness - daily retro-bulbar injection of 0.1% solution of atropine sulphate 0.5 ml Nicotinic acid inside of 0.05-0.1 g three times a day or in/in 5 ml of 1% solution, inhalation amilnitrita, nitroglycerin 0,001 g under the tongue. Injection of a 10% solution of caffeine in 1 ml s/C every other day alternating with injections from 3% to 7% solution of sodium nitrate at doses 0,3; 0,6; 0,9 ml for each concentration. Aminophylline, papaverine, Dibazol, yexin 2-3 times a day for 10-15 days. Injection of glucose, magnesium sulfate. In acute obstruction on the ground thrombosis - anticoagulants (heparin, vanilin, plantan) and fibrinolizin under the control of the prothrombin index blood. The treatment of common diseases. In the later stages to improve metabolism of the retina - vitamin (a, B1, B6, B12, C). Forecast at a spasm of the Central artery of the retina favorable, in other types of blockage (thrombosis, embolism) is a serious, sight is sharply reduced..



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