Consult ophtho with goals for reducing intraocular pressure, dislodging  the embolus or increasing<unk> al flow
Start high dose systemic corticosteroids if high ESR/CRP (especially high CRP) and sudden vision loss
Median starting PO prednisone 80mg/day, with 40% of patients on > 100mg/day
Treat until BOTH ESR and CRP stabilize (~2-3 wks)
Median starting PO prednisone 80mg/day, with 40% of patients on > 100mg/day
Treat until BOTH ESR and CRP stabilize (~2-3 wks)
No evidence supporting or refuting the following treatments: 
Ocular massage
Intermittent direct digital pressure applied through closed eyelid x 10-15 sec with rapid release to create pressure gradient to dislodge embolism
Timolol ophthalmic 0.5% to decrease intraocular pressure
Alternative acetazolamide 500mg IV or PO
Increase PCO2 leading to retinal<unk>  vasodilation/increased retinal blood flow
Rebreathe into paper bag x10 min q hr
Inhale 95% O2 and 5% CO2 (Carbogen)
Anterior chamber paracentesis
Causes acute drop in IOP to dislodge embolism
Intraarterial fibrinolysis or low dose systemic thrombolytics
Acetazolamide, 500mg IV or PO
Mannitol
Intermittent direct digital pressure applied through closed eyelid x 10-15 sec with rapid release to create pressure gradient to dislodge embolism
Alternative acetazolamide 500mg IV or PO
Rebreathe into paper bag x10 min q hr
Inhale 95% O2 and 5% CO2 (Carbogen)
Causes acute drop in IOP to dislodge embolism
Central retinal artery occlusion
Painful
Central retinal vein occlusion
Arteritic anterior ischemic optic neuropathy
Posterior vitreous detachment
Optic neuritis
Traumatic optic neuropathy
Temporal arteritis†