What is one recommended treatment for central retinal artery occlusion?

Orbital massage is considered a recommended treatment for central retinal artery occlusion, especially when initiated promptly after the onset of symptoms. This technique involves gentle massage of the eyeball, which can help facilitate the flow of blood through the obstructed artery and potentially improve the chances of restoring vision. The rationale behind this approach is that the mechanical pressure may help to dislodge the embolus or improve venous drainage, allowing for better perfusion of the retina.

Other treatments, such as laser photocoagulation, oral steroids, and topical anesthetics, are generally not appropriate for this condition. Laser photocoagulation is more relevant for conditions like retinal tears or diabetic retinopathy, rather than for occlusions where vascular flow is blocked. Oral steroids may be used for inflammatory conditions but are not a standard intervention for retinal vessel occlusions. Topical anesthetics do not address the underlying issue of blood flow obstruction and are typically used for other purposes, such as ocular surface irritation or before certain procedures. Thus, the use of orbital massage presents a practical and immediate intervention in cases of central retinal artery occlusion.