[abstract]HYPERBARIC OXYGEN THERAPY FOR BRANCHED RETINAL ARTERY OCCLUSION

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[abstract]HYPERBARIC OXYGEN THERAPY FOR BRANCHED RETINAL ARTERY OCCLUSION

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Title: [abstract]HYPERBARIC OXYGEN THERAPY FOR BRANCHED RETINAL ARTERY OCCLUSION
Author: Talati N; Chin W
Abstract: INTRODUCTION/BACKGROUND: Branched retinal artery occlusion (BRAO) is a rare condition presented as acute painless loss of monocular vision. Incidence has been measured at 1 to 10 in 100,000 ophthalmology visits. Susac’s syndrome (SS) consists of the clinical triad of encephalopathy, branch retinal artery occlusions and hearing loss. We present a case in which HBO2 was utilized three separate times for acute BRAO caused by SS. MATERIALS AND METHODS: 23-year-old female with a history of SS admitted for acute painless right eye blindness. Patient experienced inferotemporal and superonasal restriction of visual field. After her first hyperbaric oxygen (HBO2) treatment, patient showed improvement in the lateral field and some central vision. By her 11th treatment, patient had return to normal outer and inner field vision, except for a small, light band across the medial lower quadrant. HBO2 was discontinued at this point, as patient complained of pressure in the left ear, slight decrease in hearing and tinnitus. Patient’s audiology evaluation later showed that hearing loss was actually a consequence of SS. A month later, patient was readmitted for vision loss in the left eye, medial upper quadrant. After her first treatment, patient noted minimal light perception. She consistently saw visual improvement for nine treatments that plateaued for three treatments. Patient was seen by ophthalmology, and her vision was determined to have fully recovered. Three weeks later, patient returned for treatment of darkening in the right lower nasal portion of the right eye. After her third treatment, patient reported lessening of darkness in the field and sustained visual improvement. Patient stopped treatment against medical advice. RESULTS: Patient has not returned since her last round of HBO2 and has not had any recurrence of vision or hearing loss. CONCLUSIONS: HBO2 therapy was shown to be an effective treatment for vision loss from SS.
Description: Undersea and Hyperbaric Medicine : Journal of the Undersea and Hyperbaric Medical Society, Inc.
URI: http://archive.rubicon-foundation.org/10732
Date: 2013

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  • UHMS Meeting Abstracts
    This is a collection of the published abstracts from the Undersea and Hyperbaric Medical Society (UHMS) annual meetings.

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