Practice Patterns After Acute Embolic Retinal Artery Occlusion.
OBJECTIVE
To compare stroke evaluations recommended by retina special-ists and neurologists for retinal artery occlusion (RAO).


METHODS
A cross-sectional survey.


METHODS
An anonymous survey was emailed to members of the American Academy of Neurology Stroke Section listserv and vitreoretinal specialists registered with the American Academy of Ophthalmology. The survey was divided based on duration of symptoms before encounter: less than 12 hours, 24-48 hours, and more than 1 week. Institutional review board approval was obtained before data collection.


RESULTS
Four hundred forty-eight surveys were completed (281 retinologists and 167 neurologists). Within 12 hours of RAO, most neurologists (75%) pursue a hospital-based evaluation, whereas the majority of retinologists (82%) pursue outpatient workup (P < 0.0001). Most neurologists (92%) and retinologists (98%) pursue outpatient stroke workup if symptoms have been present for more than 7 days.


CONCLUSIONS
Neurologists pursue higher acuity care after RAO, whereas most retinologists order outpatient evaluations. Retina specialists should consider urgent stroke evaluation to mitigate stroke risk factors.
Department of Ophthalmology, University of Minnesota.
Anne S
AS
Abel
Department of Ophthalmology, University of Minnesota.
Sandip
S
Suresh
Department of Neurosciences, HealthPartners Clinics and Services, Minneapolis, MN.
Haitham M
HM
Hussein
Department of Neurology, University of Minnesota.
Adam F
AF
Carpenter
Department of Ophthalmology, University of Minnesota.
Sandra R
SR
Montezuma
Department of Ophthalmology, University of Minnesota.|Department of Neurology, University of Minnesota.|Department of Neurosurgery, University of Minnesota.
Michael S
MS
Lee
D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D000072141:Neurologists / Q000706:statistics & numerical data*; D000072163:Ophthalmologists / Q000706:statistics & numerical data*; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D015356:Retinal Artery Occlusion / Q000150:complications*; D012307:Risk Factors; D020521:Stroke / Q000517:prevention & control*; D014481:United States
central retinal artery occlusion; evaluation; management; neuroimaging; stroke; workup