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August 2001

Removal of Emboli From the Branches of the Central Retinal Artery

Arch Ophthalmol. 2001;119(8):1225. doi:

In reply

We thank Dr Peyman for sharing his valuable experience with surgical removal of a branch retinal artery embolus. We are intrigued by his suggestion of removing an embolus that is visible in a branch retinal artery. However, in central retinal artery (CRA) occlusion, the offending embolus (or thrombus) often is not visible. Pathologic studies indicate that the embolus is located at or near the level of the lamina cribrosa.1 For this reason, we prefer to explore the technique of cannulating the CRA with a fine stylet to reach and disrupt the embolus.

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