Eye Stroke: Treatment Options and Expert Insights

Q: Eye Stroke: Treatment Options and Expert Insights

Hello： Eye stroke can be classified into arterial occlusion or venous occlusion. <br>In the case of arterial occlusion, there is significant neuronal cell death, which usually results in more severe vision impairment. <br>Conversely, if there is venous occlusion that does not aff

"Eye stroke"

Dr.
Feng: Hello! My mother underwent fluorescein angiography, and the doctor said that her eye blood vessels are blocked, referring to it as "eye stroke." He mentioned that this condition can only be treated with medication to promote blood circulation, hoping it will improve.
We are to follow up in six months, and if there is no improvement, there will be no further options.
Even if there is some improvement, it won't be like before because the retina has suffered significant damage due to lack of blood supply.
It has been two weeks since my mother's examination, and the affected eye is still completely black.
I am very worried.
Could you please tell me if this condition is truly as the doctor said—incurable with medication or surgery? Or is there a specialist who focuses on this condition? Thank you for your explanation!

Xiao Yun, 20~29 year old female. Ask Date: 2006/11/02

Dr. Feng Jiefan reply Ophthalmology

Hello: Eye stroke can be classified into arterial occlusion or venous occlusion.
In the case of arterial occlusion, there is significant neuronal cell death, which usually results in more severe vision impairment.
Conversely, if there is venous occlusion that does not affect the macula, the vision loss tends to be milder and there is a possibility of recovery.
The impact of such vascular occlusive diseases on vision is often determined by the location of the occlusion, which should guide the focus of preventive treatment to avoid complications.
Sincerely, Dr.
Feng Jie-Fan, Ophthalmology.

Reply Date: 2006/11/02

More Info

Understanding eye stroke, also known as retinal vascular occlusion, is crucial for patients and their families, especially when faced with the distressing symptoms and potential outcomes associated with this condition. Your concerns regarding your mother's diagnosis and treatment options are valid, and it's important to explore the available avenues for care and management.

Retinal vascular occlusion occurs when blood flow to the retina is blocked, leading to vision loss. This can happen due to various reasons, including blood clots, atherosclerosis, or other vascular issues. The term "eye stroke" is often used to describe this condition because it shares similarities with strokes that occur in the brain, where blood supply is interrupted.

In terms of treatment, the approach largely depends on the type of occlusion—whether it is a central retinal artery occlusion (CRAO) or a branch retinal artery occlusion (BRAO). Unfortunately, the treatment options for retinal vascular occlusion are limited, and the prognosis can vary significantly based on the extent of the damage and the timing of intervention.

1. Medications: As you mentioned, medications that promote blood circulation, such as anti-VEGF (vascular endothelial growth factor) injections, may be used to help manage the condition. These medications aim to reduce swelling and promote the growth of new blood vessels, which can help restore some vision. However, their effectiveness can vary, and they are not a guaranteed solution.

2. Laser Treatment: In some cases, laser therapy may be employed to treat complications arising from retinal vascular occlusion, such as neovascularization (the formation of new, abnormal blood vessels). This treatment can help prevent further vision loss but may not restore lost vision.

3. Surgical Options: While there are surgical interventions for certain types of retinal issues, such as vitrectomy for retinal detachment, there are no widely accepted surgical procedures specifically for treating retinal vascular occlusion. Some experimental procedures may be available in clinical trials, but these are not standard practice.

4. Follow-Up and Monitoring: Regular follow-up appointments with an ophthalmologist or a retina specialist are crucial. They can monitor the condition and adjust treatment plans as necessary. If your mother's condition does not improve, it may be beneficial to seek a second opinion from a specialist who focuses on retinal diseases.

5. Supportive Care: In addition to medical treatment, supportive care, including vision rehabilitation services, can help patients adapt to changes in their vision. This may include the use of visual aids and strategies to enhance remaining vision.

It is understandable to feel anxious about your mother's condition, especially given the potential for irreversible damage. While it may seem discouraging that the initial assessment indicates limited treatment options, it is essential to remain proactive in seeking care. Consulting with a retina specialist who has experience in managing retinal vascular occlusions can provide more tailored insights and potential treatment strategies.

In conclusion, while the prognosis for retinal vascular occlusion can be challenging, there are still avenues for treatment and management. Engaging with specialists who are knowledgeable about this condition and exploring all available options can help you and your mother navigate this difficult situation. Remember, early intervention is key, and staying informed about the latest developments in treatment can make a significant difference in outcomes.

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