Challenging the diagnosis and treatment of central retinal artery occlusion (CRAO) in emergency department

Central retinal artery occlusion (CRAO) is an of the central that causes a disruption blood flow to retina and may result in ischemia. According American Heart Association/American Stroke Association (AHA/ASA), CRAO type acute ischemic stroke. There some variation management. Determining most effective therapy remains challenging. We report male, 58th-years-old, with sudden vision loss right eye for 4 hours onset upon arrival at Emergency Department. Patient aware, hypertensive crisis, visual acuity was 1/300. Brain Magnetic Resonance Imaging (MRI) revealed multiple small vessel cortical-subcortical area. The patient hospitalized received ocular massage, antiplatelet, antihypertensive, lipid-lowering therapy. Visual minimally improved discharge. form stroke occur concurrently or progress into cerebral Treatment intravenous thrombolysis be within 4.5 onset. Ensuring arrives emergency department confirming diagnosis this narrow time still