Usefulness of ocular ultrasound for monitoring acute retinal arterial ischemia.

IF 2.6 4区医学 Q1 MEDICINE, GENERAL & INTERNAL

Medicina Clinica Pub Date : 2024-12-09 DOI:10.1016/j.medcli.2024.11.003

Luis Castilla-Guerra, Antonio Gómez-Escobar, Estanislao Gutiérrez Sánchez, María Del Carmen Fernández-Moreno

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引用次数: 0

Abstract

Introduction: The ocular ultrasound spot sign negatively predicts the success of thrombolytic treatment in retinal arterial occlusions. We evaluated the presence of the spot sign in these patients.

Material and methods: Retrospective study of patients with acute central retinal artery occlusion (CRAO) or its branches (BRAO). An ocular ultrasound was performed to assess the presence of spot sign.

Results: Twenty patients were included, 13 CRAO and 7 BRAO. Carotid stenosis was the most common etiology, in 50%, 7 CRAO and 3 BRAO. A spot sign was observed in 9 patients (45%), 7 CRAO and 2 BRAO. We did not observe significant differences between patients with CRAO and BRAO. Patients with the spot sign were significantly older: 73 (±9) vs. 66 (±6) years (p=0.028).

Conclusions: Ocular ultrasound is very useful in the evaluation of patients with acute retinal ischemia. More than 50% of CRAOs and one in 4 with BRAOs have the spot sign and would not benefit from systemic thrombolysis.

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来源期刊

Medicina Clinica 医学-医学：内科

CiteScore

3.10

自引率

5.10%

发文量

295

审稿时长

22 days

期刊介绍： Medicina Clínica, fundada en 1943, es una publicación quincenal dedicada a la promoción de la investigación y de la práctica clínica entre los especialistas de la medicina interna, así como otras especialidades. Son características fundamentales de esta publicación el rigor científico y metodológico de sus artículos, la actualidad de los temas y, sobre todo, su sentido práctico, buscando siempre que la información sea de la mayor utilidad en la práctica clínica.