Occlusion of the Central Retinal Artery Treatment
Central retinal artery occlusion requires emergent treatment and an evaluation by an ophthalmologist. The goal of treatment is to restore blood flow and the delivery of oxygen to the retina. In some cases, gentle massage of the eyeball may dislodge a clot and restore blood flow. Treatment includes medications that lower the pressure inside the eye, which reduces pressure against the central retinal artery. Breathing a mixture of oxygen and carbon dioxide may help to dilate the artery, and deliver more oxygen to the retina. Additional treatment may include hyperbaric oxygen therapy, which also increases the amount of oxygen that is delivered to the retina.
Treatment for central retinal artery occlusion may include:
- Medications for retinal artery occlusion:
- Acetazolamide (Diamox)
- Dorzolamide (Trusopt)
- Mannitol (Osmitrol)
- Apraclonidine (Iopidine)
- Dipivefrin (Propine)
- Prednisone (Deltasone)
- Timolol (Timoptic)
- Carbon dioxide therapy for retinal artery occlusion:
- Dilates the retinal vessels
- Ocular massage for retinal artery occlusion:
- Massage of the eyeball
- Anterior chamber paracentesis for retinal artery occlusion:
- Draining fluid from the eye
- Hyperbaric oxygen therapy for retinal artery occlusion
Occlusion of the Central Retinal Artery Questions For Doctor
The following are some important questions to ask before and after the treatment of central retinal artery occlusion.
Questions to ask before treatment:
- What are my treatment options?
- Is surgery an option for me?
- What are the risks associated with treatment?
- Do I need to stay in the hospital?
- How long will I be in the hospital?
- What are the complications I should watch for?
- How long will I be on medication?
- What are the potential side effects of my medication?
- Does my medication interact with nonprescription medicines or supplements?
- Should I take my medication with food?
Questions to ask after treatment:
- Do I need to change my diet?
- Are there any medications or supplements I should avoid?
- When can I resume my normal activities?
- When can I return to work?
- Do I need a special exercise program?
- What else can I do to reduce my risk for having this problem again?
- How often will I need to see my doctor for checkups?
- What local support and other resources are available?
Occlusion of the Central Retinal Artery Specialist
Physicians from the following specialties evaluate and treat central retinal artery occlusion:
- Fraser S, Siriwardena D. Interventions for acute non-arteritic central retinal artery occlusion. Cochrane Database Syst Rev. 2002;(1):CD001989. 
- Ramakrishna G, Malouf JF, Younge BR, Connolly HM, Miller FA. Calcific retinal embolism as an indicator of severe unrecognised cardiovascular disease. Heart. 2005 Sep;91(9):1154-7. 
- Rumelt S, Brown GC. Update on treatment of retinal arterial occlusions. Curr Opin Ophthalmol. 2003 Jun;14(3):139-41.