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August 20, 2025Stroke

Early Thrombolysis and Outcomes in Central Retinal Artery Occlusion: An Individual Participant Data Meta-Analysis

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Authors

JXJim Shenchu XieUniversity of TorontoKZKirill ZaslavskyMassachusetts Eye and Ear InfirmaryYCYuri V. ChabanUniversity of Toronto

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Implication

Meta-analysis shows early thrombolysis improves visual recovery in central retinal artery occlusion, indicating potential benefits over conservative therapy.

Key Points

  • Thrombolysis significantly improves visual recovery when treatment is initiated early, and higher odds of recovery are associated with timely intervention.
  • Recovery rates from severe vision loss were notably higher with thrombolysis compared to conservative therapy: odds ratios for intraarterial and intravenous approaches were 2.72 and 3.32, respectively.
  • Mixed-effect models were utilized to assess the influence of treatment timing on visual outcomes, revealing a significant changepoint at 8 hours for intraarterial thrombolysis.
  • These findings suggest a need for larger randomized controlled trials to further confirm the benefits of early thrombolysis in patients with central retinal artery occlusion.

Cite This Study

Xie et al. (2025) studied this question.

synapsesocial.com/papers/68af55d8ad7bf08b1eadc828https://doi.org/10.1161/strokeaha.124.049955
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