Understanding Retinal Artery Occlusions

A retinal artery occlusion occurs when blood flow to the retina is blocked. Often described as a “stroke of the eye,” this condition can cause sudden vision loss and requires urgent evaluation.

What Are Retinal Artery Occlusions?

A retinal artery occlusion (RAO) happens when one of the arteries that supply blood to the retina becomes blocked, usually by a blood clot or cholesterol plaque. This cuts off oxygen to the retina and can result in sudden vision loss.

There are two main types:

Central Retinal Artery Occlusion (CRAO):

Blockage of the main artery supplying the retina, leading to severe vision loss.

Branch Retinal Artery Occlusion (BRAO):

Blockage of a smaller artery branch, affecting only part of the visual field.

Symptoms

Because symptoms are abrupt, RAOs are considered a medical emergency.

Symptoms often develop suddenly and may include:

01. Sudden, painless loss of vision in one eye

02. Partial loss of vision (with BRAO)

03. Blurred or dim vision

04. A gray or white appearance to the retina during an eye exam (noted by doctors)

Risk Factors

Risk factors include:

Diagnosis & Testing

Diagnosis typically includes:

Dilated Eye Exam:

Reveals circulation-related damage in the eye.

Reveals retinal changes caused by blocked blood flow.

Optical Coherence Tomography (OCT):

High-resolution scans of retinal layers.

Provides cross-sectional imaging of the retina.

Fluorescein Angiography:

Highlights circulation patterns in the retina.

Tracks blood flow through the retinal vessels.

Systemic Testing:

Connecting eye health with overall circulation.

Patients may also need cardiovascular evaluation to identify the source of the blockage.

Treatment Options

There is no guaranteed way to restore vision after an RAO, but immediate treatment may help limit damage. Options include:

Ocular Massage or Pressure-Lowering Drops:

Sometimes used in the acute phase.

Hyperbaric Oxygen Therapy (in select cases):

May help restore oxygen to retinal tissue.

Managing Underlying Conditions:

Controlling blood pressure, cholesterol, and diabetes to prevent future blockages.

Referral for Stroke Evaluation:

Because RAOs are linked to systemic vascular disease, patients often require urgent evaluation by a primary care doctor or neurologist.

Living with Retinal Artery Occlusions

Patients may need to adjust to partial or permanent vision loss after an RAO. Helpful steps include:

Working with low-vision specialists to maximize remaining vision.

Managing cardiovascular risk factors with lifestyle changes and medications.

Attending regular eye exams and medical check-ups to prevent further complications.

At Retina Consultants of Hawaii, we provide urgent care and partner with other specialists to support
patients with RAOs and help prevent future vision-threatening events.

Next Steps in Your Care

If you experience sudden, painless vision loss in one eye, seek emergency care immediately. If a retinal artery occlusion is suspected, your eye care provider can coordinate urgent evaluation and specialized treatment with our team.

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