１９．CRAO(Treatment)

R)1142 CRAO(Tr)

Occular massage: repeated massage w 10-15 secs of pressure followed by sudden release is recommended.

Mixture of 95%O2 and 5% CO2
Hyperbaric O2 to keep O2 level until recanalization/reperfusion typ occurs in 72 hrs

ACP
Pentoxifylline, nitroglycerin and isosorbide dinitrate
Hemodilution w hydroxyethil starch 500ml: ↓viscosity

CRAO(Tr)surgical

ACP
Nd-YAG: the laser is focused slightly deep to the vessel wall at hte site of the embolus to avoid fotodisruption and whiting of the overlying NFL.

small emboli → centre

elongated emboli→ slightly downstream/distal to reduce H
until

1.fragmentation

2.destruction, H →apply digital pressure on the globe

GCA(Tr)sys stero po
※sys stero is not effective for the other CRAO (embolic)

t-PA was proven ineffective in EAGLE study (2010)

digital massage の詳細な方法。１５秒押してパッと離そうか。
他、EAGLE study(2010,Euro)によるとconventional majours が他のretrospective studiesと比較し、思いの外良かったと言う事。
但し、ACPを外来直ぐにやるのは多大な疑問が残る。

無菌でも何でもないのに関節や眼内にブスブス針刺してたら未来のコンピューターに笑われる。

瞬間的に結膜ー眼瞼全体を１００％完全かつ簡便に無菌化するテクノロジーが欲しい。