The goal in this work is to evaluate the streptokinase as a line of treatment
in the retinal artery occlusions. The ability of streptokinase to lyse
clot was first recognized in the 1930. The logical approach to the treatment
in these indications is the early restoration of blood circulation in order
to preserve the organ deprived from oxygen supply and to prevent
chronic sequelae. Fifteen patient were picked along 3 years from the
emergency room complaining of Sudden loss of vision They were
amassed into 2 assemblies The former embodied 10 cases (6 males & 4
females) treated with streptokinase 1.5 million unit as one dose, heparine
was injected after 6 hours by a bulous dose 15.000 unit. 1.V. the some
management, without using streptokinase, were applied latter five patients
(aged between 29-68 years) were kept for comparison between
both groups. Results demonstrated Progress in vision and field in the first
group owing to their vascular background. The effectivity of adding streptokinase
was high in comparison to heparine alone. Interference should
take place in the first hour from the attack. Older clots ftbrinolysis would
not benefit the patient. |
