The fundus arteriosus has been blinded for 5 days and vision is irrecoverable, but treatment is needed to prevent neovascular glaucoma.
The retina cannot tolerate prolonged ischemia and requires emergency management at the onset, including: retrobulbar injection of atropine or 654-2 (scopolamine), sublingual nitroglycerin, and intravenous vasodilators. If the obstruction is not relieved within 1 hour of onset, photoreceptor cell death is irreversible. Patients with prolonged onset have irreversible vision.
Untreated ophthalmic artery obstruction can be complicated by neovascular glaucoma, also known as “100-day glaucoma,” which is the most serious complication of ophthalmic artery obstruction. As the disease progresses, eye pain and atrophy may occur. For this patient, we still need to improve the circulation and nutritional nerve treatment. Actively find out the cause of the disease and treat the cause of the disease.