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Discover the hyperbaric medicine center opened in our clinic. Centrokinetic has the top-performing hyperbaric chamber in Bucharest, with multiple medical and anti-aging uses. The Baroks chamber has 5 seats, and operates at a constant pressure of 2.5 atmospheres, being fully automated and having protocols for each condition, and can be used individually for each patient.
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Centrokinetic is keeping contact with prestigious clinics and universities in Belgium, the Netherlands, France, and Greece to constantly update treatments to provide patients with the best medical solutions.
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Central retinal artery occlusion (CRAO) is a devastating and common eye condition. CRAO presents a sudden, unilateral, and painless loss of vision. Even when treated promptly, an acute obstruction of the central retinal artery usually leads to severe and permanent loss of vision.
The specific cause of CRAO is unknown, occlusion can occur when the veins in the eyes are too narrow. Factors that can promote the occurrence of CRAO are atherosclerosis, diabetes, high blood pressure, high cholesterol, glaucoma, smoking.
Traditional CRAO treatments (eye massage, paracentesis of the anterior chamber, drugs to lower intraocular pressure, vasodilators, and oral diuretics) focus on moving the embolism downstream by lowering intraocular pressure and producing vasodilation. However, there are currently no effective therapies available for CRAO.
Another treatment for CRAO is hyperbaric oxygen therapy (HBOT). This involves inhaling pure oxygen at pressures exceeding 1 absolute atmosphere (ATA). During HBOT, the volume of dissolved oxygen in the plasma increases from 20 to 30 times.
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An 81-year-old woman presented to the emergency department (ED) with a sudden and painless loss of vision in the right eye (OD). Her visual change had begun 10 hours before she was admitted to the study. The patient's medical history showed heart failure, atrial fibrillation, and a heart attack. She underwent cataract surgery on both eyes.
When the patient visited the ED, it was found that visual acuity was low only in the right eye and 0.4 on a decimal scale in the left eye (OS). Intraocular pressure was 14 mmHg in OD and 13 mmHg in the operating system. She had a grade 3 afferent pupillary defect in OD. The anterior segment of her eyes was evaluated using biomicroscopy, with no abnormal results found.
An examination of the fundus revealed a slightly pale retina with a red spot on the macula. No definite evidence of plaque or embolism was noted. An optical coherence tomographic scan showed that there was a slight increase in the reflectivity of the inner retinal layer. The patient was instructed on how to perform a digital OD massage. Topical brimonidine and dorzolamide/timolol were also prescribed to maximize blood pressure.
After the first session, the patient's uncorrected visual acuity improved to 0.2 in OD and 0.5 in the operating system. After hospitalization, he received intermittent oxygen therapy for 15 minutes every hour, alternating with a 45-minute break in the hyperbaric chamber, followed by a treatment performed by an ophthalmologist who performed paracentesis of the anterior chamber.
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Her visual acuity for near vision in OD gradually increased during HBOT from 0.1 to 0.5. She received one HBOT treatment session (with the same treatment protocol for each session) per day for 3 days with intermittent oxygen therapy after HBOT. There were no complications during HBOT. On the fourth day, the patient's visual acuity remained 0.4 (OD) for distance vision and 0.5 (OD) for near vision, similar to that in the absence of oxygen. The patient was then discharged. She came back for a check up one month after her discharge from the ophthalmology clinic, and her visual acuity was maintained at 0.8 (OD) without complications such as neovascularization or changes in retinal pigment epithelium.
The key reason for the poor prognosis following a CRAO diagnosis is that the retina is very sensitive to ischemia because retinal tissue demonstrates the highest rate of oxygen consumption per unit mass in the human body. The inner layers of the retina, which are normally oxygenated through the retinal circulation, usually lose viability following an occlusion, causing vision loss among patients with CRAO. However, if these layers can obtain enough oxygen by diffusion through the choroidal circulation, the inner layers of the retina will remain viable.
Undersea & Hyperbaric Medical Society has recommended that patients presenting for treatment within 24 hours of the onset of symptoms be considered for HBOT. However, as health insurance does not currently cover the use of HBOT to treat CRAO in Korea, it is recommended that additional studies be conducted to evaluate the effects of HBOT among Korean patients with CRAO.
Centrokinetic is the place where you will find clear answers and solutions for your motricity problems. The clinic is dedicated to osteoarticular diseases and is divided into the following specialized departments:
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READ MOREDiscover the hyperbaric medicine center open in our clinic. Centrokinetic has the top-performing hyperbaric chamber in Bucharest, with multiple medical and anti-aging uses. The Baroks chamber has 5 seats, and operates at a constant pressure of 2.5 atmospheres, being fully automated and having protocols for each condition, and can be used individually for each patient.
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