4 Topic Commentaries

When Retinal Findings Point to a Vascular Emergency

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  John J. Chen, MD, PhD

  Neuro-ophthalmology

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  Mayo Clinic

  We recently looked at patients treated at Mayo Clinic and found that there was a 5% risk of symptomatic ischemic stroke within two weeks of CRAO. However, there can potentially be bias toward more-severe disease when looking at a tertiary center such as Mayo Clinic,

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  Kevin D. Chodnicki, MD

  Neuro-ophthalmology

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  Mayo Clinic

  It is important for clinicians, health care leaders and the public to understand the implications of CRAOs not only for vision but for neurological health and stroke as well. We hope these results can help inform the discussion as standards of care are optimized for the management of CRAO,

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  Neil R. Miller, MD

  Neuro-ophthalmology

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  Wilmer Eye Institute, Johns Hopkins Medicine

  In the very simplest terms, NAION is a stroke within the eye occurring near the head of the optic nerve, called the optic disc. It causes reduced blood flow, swelling and optic nerve damage that leads to vision loss.

  Source
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  Beau Bruce, MD

  Neuro-ophthalmology

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  Emory Eye Center, Emory University

  The eye is a strong indicator of whole-body health. Patients who come to us with hypertensive retinopathy, for example, show us how far their hypertension has progressed by the condition of their retinas.

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