中国视网膜中央动脉阻塞临床诊疗 专家共识.

Central retinal artery occlusion (CRAO) is a vascular neuro-ophthalmic emergency that causes a rapid decline or even loss of vision in one eye after onset. It also significantly increases the risk of acute ischemic vascular events (such as stroke, and acute myocardial infarction), death, and ocular neovascularization (ONV). CRAO is regarded as a special type of acute ischemic stroke, and there are still controversies in its clinical diagnosis and treatment, especially significant differences among physicians with different professional backgrounds. Therefore, it is particularly urgent and necessary to formulate and implement the consensus on the clinical diagnosis and treatment of CRAO that aligns with China’s national circumstances. By referring to international guidelines for CRAO management and practice patterns, conducting systematic literature searches, and combining with China’s national circumstances, we formulated the draft of the Expert Consensus on Clinical Diagnosis and Treatment of Central Retinal Artery Occlusion in China (hereinafter referred to as the consensus). After the core expert group deliberated and revised many times, this consensus was finally formed. This consensus provides a detailed and comprehensive explanation of CRAO’s epidemiology, anatomy and pathogenesis, risk factors, clinical manifestations, auxiliary examinations, classification, the natural course of the disease, factors affecting vision recovery, first contact departments, rapid assessment, treatment (including conservative treatment, etiological treatment, intravenous thrombolysis, and intra-arterial thrombolysis), risk of vascular events (including acute ischemic vascular events and death), risk and treatment of secondary ONV, secondary prevention and scientific management, in order to improve the overall management level of CRAO in our country. When clinicians apply this consensus, it is recommended to provide individualized diagnosis and treatment based on the actual condition of the patient and the specific circumstances of the clinic. All medical staff should always adhere to the concept that “time is vision” and refer CRAO patients to the nearest comprehensive stroke center with CRAO diagnosis and treatment capabilities as soon as possible, striving to maximize the improvement of patients’ vision and reduce the risk of complications. [ABSTRACT FROM AUTHOR]