Anmeldung zur Tagung
Registration
Grußwort
Invitation
Themen
Topics
Allgemeiner Ablauf
General overview
Wissenschaftliches Programm
Scientific program
Kurse
Courses
Symposien
Symposiums
Frühstück mit Spezialisten
Breakfast with specialists
Arzthelferinnen-Fortbildung
Rahmenprogramm
Social program
DOG Information
DOG Information
Allgemeine Informationen
General Information
Autorenindex
Index of Authors
Ausstellerliste
Exhibitors
Sponsoren
Sponsors
Teilnahmegebühren
Registration fees
Impressum
Presentation of a multicentric, prospective, randomized study for treatment of a central retinal artery occlusion with local intraarterial fibrinolysis.
1Schmidt D., 2Schumacher M., 3Mueller A., 3Kampik A.
1Univ.-Augenklinik, 2Sektion f. Neuroradiologie Freiburg, 3Univ.-Augenklinik München
Goal of examination: Judgement of local intraarterial fibrinolysis (LIF).
Methods: In this prospective study, patients with a central retinal
artery occlusion (CRAO) should be either treated with LIF (max. 50 mg
rt-PA or 1.5 Mio Urokinase, respectively) or conservatively (isovolemic
hemodilution). In both groups, massage of the globe and treatment of the
blood pressure should be carried out, immediately before the treatment
(LIF or hemodilution) in an equal way. Then, the patients should be treated
with aspirin ® or in special situations with Marcumar ®. In this
study probably 14 clinics will participate. Kriteria for exclusion are
reported on in detail. Kriteria for judgement are: visual acuity, visual
field, stage of CRAO, and general disease.
Results: Up to now, several preliminary studies have been carried
out: examinations with conservative treatment (Neubauer et al. 2000, on
the minimal invasive treatment in a clinically complete CRAO) as well
as the treatment with LIF in 3 clinics (Bern, Freiburg, Hamburg).
Conclusion: The statistical comparison of the results of the conservative
treatment and of the LIF treatment is decisive for the treatment of an
CRAO in the future.