Talking to some ophthalmology colleagues, this is a more typical finding that you'd see in central retinal artery occlusion. But basically this is a snapshot that gives you a bit of a topographical appearance of the retina. And again, we'll touch on this more towards the end of the talk. The study the image on the right is actually an oak ct image. And then blood tests such as Cbc koa GSR looking for masculinity, underlying causes and biochemical analysis. And obviously the last two of those require technical considerations but also expertise considerations. But other investigations cT had to exclude intracranial um causes for presenting with visual loss or excluding stroke mass lesion and as we talked about fungus copy Oktay or flores and retinal angiography. And we'll talk more about that a little bit later on. You really need a good quality physical exam that focuses on retinal examination which is more or less a bit of a rate limiting step to getting patients treated quickly. And it's important to understand that for the diagnosis of this this this entity. Ophthalmologists and neurologists talk about apple retina and a cherry red spot. Present with decreased visual acuity and on fungus copy the typical findings that we are. There's actually a dual supply of blood to the globe from the core idol ancillary arteries which actually supply the outer layers of the of the globe itself. And there's something to remember that it's impaired perfusion to the inner retinal layers. And most of us remember from our training back in medical school but basically sudden onset painless loss of vision secondary to inclusion of the central retinal artery. So no disclosure is really relevant to this talk for today but central retinal artery occlusion Israel Um paper that was published back in 2005, gave uh Sorry an incidence of one presentation per 10,000 ophthalmology visits. I'm going to talk today about central retinal artery occlusion and I wanted to be a little bit optimistic and stay defining the role of your intervention rather than is there a role for your intervention? Because I think the former is more accurate looking forward. So as chris introduced my name is Read Delacey on one of the assistant professors in the cerebrovascular group here in Mount Sinai. I'm going to share my screen and just confirm that you can see the slides go to presenting view, is that right? Okay. Mount Sinai health System, which really is a great honor. He recently was a recipient of the Coleman Family Award for Excellence and physician communication. He is an exceptional mentor, he is technically gifted and he's also very compassionate with his patients. He did his residency at Gold Coast University Hospital and uh did multiple fellowships until coming to us at Mount Sinai for his radiology fellowship and Endovascular Fellowship. Er once his assistant professor of neurosurgery and radio livestream activating, he did his undergraduate and medical degree at University of Queensland in Australia. Um He did his have the pleasure of introducing read delays. He's director of neuro interventional spine, he's director of cerebrovascular services at Mount Sinai Queens. He is assistant professor of neurosurgery and radiology. They have the pleasure of introducing read Delacey. Reade De Leacy, Assistant Professor of Neurosurgery and Radiology at the Icahn School of Medicine at Mount Sinai, discusses how multidisciplinary teams at the Mount Sinai Health System treat central retinal artery occlusion (CRAO) using neurointerventional techniques. Citing numerous studies and case examples, Dr.
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