What is the single most appropriate treatment?

A 55 year’s man who is hypertensive suddenly lost his vision. The retina is pale and fovea appears as a spot.

What is the single most appropriate treatment?
A . Corticosteroids
B . Pan retinal photocoagulation
C . Press over eyeball
D . Scleral buckling

Answer: C

Explanation:

In central retinal artery occlusion (CRAO) retina becomes pale and fovea. Hypertension is a major cause of CRAO. Apply direct pressure for 5-15 seconds, then release. Repeat several massage can dislodge the embolus to a point further down the arterial circulation and improve retinal perfusion.