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When should you seek hyperbaric oxygen therapy for patients with CRAO?

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Mednet Member
Mednet Member
Neurology · Advocate Medical Group Neurology

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:

  1. Few centers offer hyperbaric oxygen therapy
  2. Labor intensive
  3. Difficulty with i...

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Mednet Member
Mednet Member
Ophthalmology · University of Arkansas for Medical Sciences, Fayetteville Campus

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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