Treatment of Retinal Arterial Occlusion

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Abstract
The various possibilities of treating arterial retinal occlusions are reviewed. Although thrombolysis [fluocortolone, streptokinase, heparin and Marcumar] is regarded as the most dependable therapeutic method, it has the most contraindications and carries the highest risk. Anticoagulative treatment [heparin and Marcumar] has less contraindications but is less efficacious. The action of vasodilators is only positive with intense general cardiovascular treatment. Attempts to influence the viscosity of blood via xanthine derivatives (and to increase glucose metabolism) and the antithrombocyte aggregation action of acetylsalicylic acid appear promising. Low molecular dextran solutions (plasma expanders) yield success but a general stabilization of the circulation is necessary.