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15 January 2025 : Clinical Research  

Ankle-Brachial Index as a Predictor of Acute Ischemic Cerebrovascular Event After Central Retinal Artery Occlusion

Dong-bo Liu ABCDEF 1, Bing-xian Zhang ABCDEF 1, Yao Zhou BCD 1, Jian-hua Zhao ABCDEF 1, Jie-wen Zhang ACDEFG 1*

DOI: 10.12659/MSM.945937

Med Sci Monit 2025; 31:e945937

Table 1 Diagnostic criteria for central retinal artery occlusion.

Clinical manifestationSudden, painless monocular vision loss
SignsThe pupil of the affected eye is moderately dilated, with a significantly delayed or absent direct pupillary light reflex, while the indirect pupillary light reflex is intact and responsive
Fundus manifestationsRetinal edema, cherry-red spots, segmental slow blood flow in weakened retinal arteries, and no abnormalities in the optic nerve head
Fundus fluorescein angiographyDuring the acute phase, it shows prolonged filling times of both the occluded retinal arteries and veins, thinning of both arterial and venous blood flow, and an extended retinal circulation time. In the recovery phase of the disease, while retinal function may have been significantly impaired, blood perfusion can recover. At this point, there may be no obvious abnormal findings

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750