Jenkins H S, Marcus D F
JACEP. 1979 Sep;8(9):363-7. doi: 10.1016/s0361-1124(79)80260-9.
Central retinal artery occlusion is characterized by sudden, painless visual loss due to blockage of retinal blood flow. It has been reported in all age groups including children but is most frequent in the sixth decade. Both thrombosis and embolism have been suggested as possible mechanisms. The emergency treatment includes intravenous acetazolamide, digital ocular massage, and inhalation of 5% carbon dioxide -- 95% oxygen for ten minutes. Following emergency treatment, immediate ophthalmologic referral and consultation is required. Comprehensive medical evaluation should be initiated to exclude systemic vascular disease.
视网膜中央动脉阻塞的特征是由于视网膜血流受阻而突然出现无痛性视力丧失。各年龄组包括儿童均有报告，但在60岁左右最为常见。血栓形成和栓塞均被认为是可能的机制。紧急治疗包括静脉注射乙酰唑胺、眼部按摩以及吸入5%二氧化碳 - 95%氧气10分钟。紧急治疗后，需要立即转诊至眼科并进行会诊。应启动全面的医学评估以排除全身性血管疾病。
