When is inpatient care indicated in the treatment of central retinal artery occlusion (CRAO)?

Updated: Jun 11, 2019
  • Author: Robert H Graham, MD; Chief Editor: Andrew G Lee, MD  more...
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Answer

Inpatient care is indicated only if comorbid disease is present. Acute cases may require in-hospital evaluation for stroke risk factors. In a 2009 survey of US ophthalmologists in Georgia, only 35% reported referring patients with CRAO to the hospital. Another US-based vitreoretinal specialist and neurologist survey revealed that, for a hypothetical patient with a CRAO (<12 hours), only 18% of vitreoretinal specialists would pursue hospital admission to a stroke unit or ER referral. In contrast, 75% of neurologists would refer to the hospital. Only 46% of neurologists and 8% of vitreoretinal specialists would pursue hospital evaluation for CRAO onset between 24 and 48 hours.


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