Patients with vasculitis may show marked improvement. Acetazolamide in nonischemic RVO, some patients will have decreased macular edema as long as they remain on the medication. Photocoagulation is currently the treatment of choice. However, considerable debate continues regarding whom the treatment may benefit. Ophthalmologic consultation is mandatory.
Management is outside the scope of emergency medicine.
The goal of therapy is to reduce macular edema. In addition, these agents modify the body's immune response to diverse stimuli. By reversing increased capillary permeability and suppressing PMN activity, it may decrease inflammation. An enzyme found in many tissues of the body, including the eye, which catalyzes a reversible reaction that involves the hydration of carbon dioxide and the dehydration of carbonic acid. Slowing the formation of bicarbonate ions with subsequent reduction in sodium and fluid transport may inhibit CA in the ciliary processes of the eye.