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Old 11-06-2012
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Eye Best Initial Rx for Eye Emergencies!

best initial step for CRAO, Retinal detachment, Afugax is tilting head back ?
friends, is this true ? i think so.. plz comment
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Old 11-06-2012
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Retinal detachment: emergent ophthalmologic consultation
1. Tilting head back
2. surgery, laser photocoagulation or cryopexy.
3. scleral buckle
4. vitrectomy/ Pneumatic retinopexy (Gas injection)
A vitrectomy is often combined with a scleral buckling procedure.

Amaurosis fugax:
Treat the cause i.e. Carotid artery disease

Central retinal artery occlusion
:emergent ophthalmologic consultation
1. Ocular massage
2. Immediate lowering of intraocular pressure with acetazolamide / anterior chamber paracenthesis.
3. Carbogen therapy (5% CO2, 95% O2)
4. Hyperbaric oxygen therapy (HBOT)
5. Intra-arterial thrombolytic therapy within 4-6 hours.

Steroids:
in arterial occlusion only when temporal arteritis (GCA) is the suspected or confirmed etiology.
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