Neurológia pre prax 6/2023

Central retinal artery occlusion as an underestimated form of ischaemic stroke

Central retinal artery occlusion can occur secondary to embolism from an unstable atherosclerotic plaque of the internal carotid artery. In our case report, monocular visual loss was the initial presentation of a severe course of ischaemic stroke which required urgent management with mechanical thrombectomy. The aim of the paper is to highlight the often underestimated severity of this condition. In our opinion, central retinal artery occlusion should be managed in an acute mode, without delay, and with the involvement of emergency medical services, just like any other stroke. In spite of the debate in both the Czech and worldwide professional community, no consensus has so far been available on the approach to this clinical entity.

Keywords: central retinal artery, stroke, mechanical thrombectomy, intravenous thrombolysis