The systemic evaluation of acute retinal artery occlusion

Current Opinion in Ophthalmology

Volumn 9, Issue 3, 1998, Pages 1-5

  Sharma, Sanjay ^a  

^a QUEEN S UNIVERSITY   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

BLOOD CLOTTING DISORDER; CAROTID ARTERY OBSTRUCTION; CAROTID ENDARTERECTOMY; HUMAN; HYPERHOMOCYSTEINEMIA; PRACTICE GUIDELINE; PRIORITY JOURNAL; RETINA ARTERY OCCLUSION; REVIEW; SYSTEMIC DISEASE; VASCULITIS;

ACUTE DISEASE; CARDIOVASCULAR DISEASES; EVALUATION STUDIES; HUMANS; INCIDENCE; PREVALENCE; RETINAL ARTERY OCCLUSION;

EID: 0031821286     PISSN: 10408738     EISSN: None     Source Type: Journal    
DOI: 10.1097/00055735-199806000-00001     Document Type: Review

References (25)

1. Brown GC, Magargal LE: Retinal artery obstruction and visual acuity. Ophthalmology 1982, 89:14-19.
2. Appen RE, Wray SH, Cogan DG: Central retinal artery occlusion. Am J Ophthalmol 1975, 79:374-381.
3. Savino PJ, Glaser JS, Cassady J: Retinal stroke: is the patient at risk? Arch Ophthalmol 1977, 95:1185-1189.
4. Wilson LA, Warlow CP, Russel RWR: Cardiovascular disease in patients with retinal arterial occlusion. Lancet 1979, 10:292-294.
5. Sharma S, Naqvi A, Sharma SM, Cruess AF, Brown GC for Retinal Emboli of Cardiac Origin Study Group: Transthoracic echocardiographic findings in patients with acute retinal arterial obstruction: a retrospective review. Arch Ophthalmol 1996, 114:1189-1192. A multicenter retrospective study evaluating acute retinal arterial occlusion patients who underwent transthoracic echocardiography. Patients were divided into those of high or low cardioembolic risk. High cardioembolic patients were 25 times more likely to receive anticoagulation or cardiac surgery based on their transthoracic echocardiographic result.
6. Anonymous for North American Symptomatic Carotid Endarterectomy Trial Collaborators: Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis. N Engl J Med 1991, 325:445-453.
7. Brown GC, Magargal LE, Shields JA, Goldberg RE, Walsh PN: Retinal arterial obstruction in children and young adults. Ophthalmology 1981, 88:18-25.
8. Greven CM, Slusher MM, Weaver RG: Retinal arterial occlusions in the young adult Am J Ophthalmol 1995, 120:776-783.
9. Sharma S, Sharma SM, Cruess AF, Brown GC for the RECO Study Group: Transthoracic echocardiography in young patients with acute retinal arterial occlusion. Can J Ophthalmol 1997, 32:38-41. The authors describe the transthoracic echocardiographic findings of 11 young patients (less than 45 years) with acute retinal arterial occlusion patients. Echocardiographic abnormalities were present in five patients (45%).
10. Sharma S for the RECO Study Group: Retinal artery obstruction in the young [letter]. Arch Ophthalmol 1997, 115:942.
11. Sanborn GE: Retinal artery obstruction in the young. Arch Ophthalmol 1997, 115:942.
12. Cuilla TA, Volpe NA: Retinal arterial occlusions in young adults. Am J Ophthalmol 1996, 22:134-136.
13. Sharma S, Brown GC, Cruess AF for the RECO Study Group: The accuracy of visible retinal emboli for the detection of cardio-embolic lesions requiring anticoagulation or cardiac surgery. Br J Ophthalmol 1998, in press. In this multicenter retrospective study, transthoracic echocardiographic results are analyzed with respect to visible embolic status. Forty-one patients (39%) had evidence of visible retinal emboli. Twelve patients (11%) received anticoagulation or cardiac surgery based on the results of transthoracic echocardiography. Of the 12 patients who had an alteration in systemic management, only six had visible retinal emboli (sensitivity = 50%). The presence of an embolus did not significantly increase the probability for anticoagulation or cardiac surgery.
14. Sharma S: The likelihood ratio and ophthalmology: a review of how to critically appraise diagnostic studies. Can J Ophthalmol 1997, 32:475-478. In this article, methods to critically appraise diagnostic studies are reviewed, including how to calculate and use the likelihood ratio clinically.
15. Russel RW: The source of retinal emboli. Lancet 1968, 789-792.
16. Graham EM: The investigation of patients with retinal vascular occlusion. Eye 1990, 4:464-468.
17. Sharma S, ten Hove MW, Pinkerton RMH, Cruess AF: Interobserver agreement in the evaluation of acute retinal artery occlusion. Can J Ophthalmol 1997, 32:441-444. The results of an observer agreement study regarding the evaluation of acute retinal arterial occlusion are reported. Observers are able to agree on the presence of cloudy swelling and the presence of visible retinal emboli.
18. Sharma S, Pater JL, Lam M, Cruess AF: Can different types of retinal emboli be reliably differentiated from one another? An inter- and intraobserver agreement study. Can J Ophthalmol (in press). An observer variability study was conducted on 42 observers to determine the degree of agreement regarding the qualitative assessment of visible retinal emboli. Observers viewed 17 fundus photographs of embolic arterial occlusion and were asked to classify emboli categorically as cholesterol, calcific, or other. Both interobserver and intraobserver agreement were poor.
19. Clarke R, Daly L, Robinson K, Naughten E, Cahalane S, Fowler B, Graham I: Hyperhomocysteinemia: an independent risk factor for vascular disease. N Engl J Med 1991, 342:1149.
20. Wenzler EM, Rademakers AJJM, Boers GH, Cruysberg JRM, Webers CAB, Deulman AF: Hyperhomocysteinemia in retinal artery and retinal vein occlusion. Am J Ophthalmol 1993, 115:162-167,
21. Bertram B, Remky A, Arend O, Wolf S, Reim M: Protein C, protein S, and antithrombin III in acute ocular occlusive diseases. German Journal of Ophthalmology 1995, 4:332-335.
22. Vingnes S, Welchser B, Elmaleh C, Cassoux N, Horellou MH, Godeau P: Retinal arterial occlusion associated with resistance to activated protein C. Br J Ophthalmol 1996, 80:1111. The authors report a case of retinal arterial occlusion that was associated with an alteration in activated protein C resistance.
23. Fineman MS, Savino PJ, Federman JL, Eagle RC Jr. Branch retinal artery occlusion as the initial sign of giant cell arteritis. Am J Ophthalmol 1996, 122:428-430. In this paper, the authors report the occurrence of a branch retinal arterial occlusion as the initial event in a patient with biopsy-proven giant cell arteritis.
24. Lee DH, Yang HN, Kim JC, Shyn KH: Sudden unilateral visual loss and brain infarction after autologous fat injection into the nasolabial groove. Br J Ophthalmol 1996, 80:1026-1027. The authors report the case of an acute retinal arterial occlusion in conjunction with a cerebrovascular accident that occurred after cosmetic autologous fat injection to the nasolabial groove.
25. Egbert JE, Schwartz GS, Walsh AW: Diagnosis and treatment of an ophthalmic artery occlusion during intralesional injection of corticosteroids into an eyelid capillary hemangioma. Am J Ophthalmol 1996, 121:638-642.