Central retinal artery occlusion (reversible in sickle trait with glaucoma. Issue 6 (June 1976)

• Record Type: Journal Article
• Authors: Radius, R L; Finkelstein, D
• Is Part Of: British journal of ophthalmology. Volume 60:Issue 6(1976)
• Page Start: 428
• Page End: 430
• Publication Date: 1976-06
• Subjects: Ophthalmology -- Periodicals; 617.7
• DOI: 10.1136/bjo.60.6.428
• Languages: English
• ISSNs: 0007-1161

Abstract

Abstract : We report a case of central retinal artery occlusion in an 18-year-old black woman with sickle-trait haemoglobinopathy and acute glaucoma after hyphaema. The central retinal artery occlusion occurred immediately after treatment of the glaucoma with osmotic agents, raising the possibility that they played a precipitating role. We suggest that osmotic agents be used with extreme caution in sickle patients with glaucoma. The occlusion was treated by anterior chamber paracentesis with eventual return of good vision. The reversibility of retinal and optic nerve function after total ischaemia is discussed.