Emergency treatment

The emergency treatment of a patient with BRAO is similar to that for an acute CRAO. Anterior paracentesis and/or medication to lower intraocular pressure are the most common therapeutic approaches. Anticoagulation is advisable in patients with atrial fibrillation. However, it is likely that in many instances the retinal artery occlusion results from lipid, cholesterol, or calcific emboli rather than from fibrin-platelet thrombi. Consequently these emboli cannot be expected to respond to anticoagulant therapy.

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