Table 1.
Suggested history and investigations for patients with central retinal artery occlusion
Arteritic cause | Investigation |
---|---|
History to investigate common risk factors | Family history of cardiovascular and cerebrovascular diseases |
Diabetes mellitus | |
Dyslipidemia | |
Valvular heart disease | |
Smoking | |
Past medical history of TIAs or angina | |
Blood investigations for common vascular risk factors | Blood pressure |
Fasting blood glucose level | |
Fasting cholesterol levels | |
Investigations to identify if it is from an embolic source | Duplex carotid ultrasound |
Echocardiogram | |
Investigations for young patients (<50 years) with no vascular risk factors | Hypercoagulable screen (protein C and S, factor V Leiden, antiphospholipid antibody) |
Vasculitic screen (ANA, ENA, ANCA, ACE) | |
Myeloproliferative or sickle cell disease (blood film) |
TIA: Transient ischemic attack, ANA: Antinuclear antibody, ENA: Extractable nuclear antigen, ANCA: Antineutrophil cytoplasmic antibody, ACE: Angiotensin-converting enzyme