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Arch Ophthalmol. 2000;118:1586-1587.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Central retinal artery (CRA) occlusion is a devastating disease for which conventional therapies are often relatively ineffective.¹ Since CRA occlusion is usually caused by a physical obstruction in the CRA, we propose a mechanical means of relieving the obstruction. We postulate that cannulation of the CRA with a stylet during vitreous surgery may disrupt the obstructive agent and restore blood flow.²

Report of a Case

A 68-year-old man with diabetes developed CRA occlusion in his left eye. On initial examination, his best-corrected visual acuity was counting fingers at 0.5 m OS. Funduscopy revealed a cherry red spot and severely narrowed retinal arteries. At approximately 30 hours after the onset of vision loss, conventional treatments had still resulted in no improvement in vision. The patient declined the option of selective thrombolysis. The option of vitrectomy with vessel cannulation and thrombus disruption under local anesthesia was then offered. The patient understood the experimental nature of this . . . [Full Text of this Article]

Comment
Reprints: William M. Tang, MD, Department of Ophthalmology, Boston University, 715 Albany St, Boston, MA 02118-2526 (e-mail: wtang@bu.edu).

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