Ophthalmology within 24 to 72 hours or as directed
Neurology or stroke clinic urgent follow-up
Primary care for risk factor management
Return immediately for
New weakness
New speech difficulty
New facial droop
New severe headache
Vision loss in the other eye
Chest pain
Syncope
References
Clinical guidelines and key sources
Key guidance
AHA scientific statement on central retinal artery occlusion as acute ischemic stroke of the retina
Recommendations for emergent stroke systems evaluation
Ophthalmology society guidance on CRAO evaluation and urgent referral
Funduscopic diagnostic features
Stroke secondary prevention guidelines for antiplatelet therapy and high-intensity statin use
Class I recommendations for risk reduction
Giant cell arteritis diagnostic and treatment guidance
Immediate corticosteroids for vision-threatening suspicion (Class I)
Evidence summaries and reviews
Evidence summaries
Meta-analyses and cohort studies on thrombolysis in CRAO
Mixed outcomes and selection bias limitations
Studies on silent brain infarcts after CRAO
Support for MRI DWI in evaluation
Carotid stenosis and cardioembolic source prevalence studies in CRAO cohorts
Support for vascular and cardiac workup
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.