A 60-year-old man presents 2 hours after central retinal artery occlusion symptoms (acute painless monocular vision loss). Imaging excludes hemorrhage...

Question

A 60-year-old man presents 2 hours after central retinal artery occlusion symptoms (acute painless monocular vision loss). Imaging excludes hemorrhage. Best acute management consideration?

Accepted Answer

Immediate ED stroke pathway activation and consider IV thrombolysis within 4.5 hours if eligible

Answer

Outpatient ophthalmology follow-up

Answer

High-dose steroids for presumed arteritis without evaluation

Answer

Delay any therapy; vision rarely recovers

Answer

Carbogen therapy only

us-abem MCQ (SBA): Central Retinal Artery Occlusion

A 60-year-old man presents 2 hours after central retinal artery occlusion symptoms (acute painless monocular vision loss). Imaging excludes hemorrhage. Best acute management consideration?