User:18j03/sandbox

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This is place to practice clicking the "edit" button and practice adding references (via the citation button). Please see Help:My_sandbox or contact User_talk:JenOttawa with any questions.

Link: Project Homepage and Resources


 * Note: Please use your sandbox to submit assignment # 3 by pasting it below. When uploading your improvements to the article talk page please share your exact proposed edit (not the full assignment 3).


 * Talk Page Template: CARL Medical Editing Initiative/Fall 2019/Talk Page Template

Central Retinal Artery Occlusion

Assignment #2
1) How you searched for a source (search strategy – where you went to find it).

I used PubMed to search for a reference using the filter “review” and “published in the last 5 years”. My search provided me with 96 articles.

2) What potential sources were identified and considered (give examples of 1 or 2).

Singh Hayreh, S. (2018, 12). Central retinal artery occlusion. Indian Journal of Ophthalmology, 66(12), 1684-1694.

3) Why the source was chosen (what made it better than other choices).

I chose the first article because it is a good review of all the different treatments for CRAO and it presents previous methods and new methods that could lead to change. Also, this article is from a reputable ophthalmology journal.

4) List at least three reasons why the source that was selected meets Wikipedia’s reliable medical sources (MEDRS) criteria.

The article chosen meets multiple MEDRS criteria, including the following: review article published in a reputable journal, is a primary source and reflect current medical knowledge.

5) How do you plan to use the source for improving the article?

This review article will be used to update the information on the current wikipedia page with the most relevant and current medical treatment for CROA.

Assignment #3
Proposed Changes

While no treatment has been clearly demonstrated to be benefit for CRAO in large systematic reviews of randomized clinical trials, many of the following are frequently used:


 * Lowering intraocular pressure;
 * Dilating the CRA;
 * Increasing oxygenation;
 * Isovolemic hemodilution;
 * Anticoagulation;
 * Dislodging or fragmenting thrombus or embolus;
 * Thrombolysis; and
 * Hyperbaric oxygen.

To achieve the best outcome for a patient with CRAO, it is important to identify the condition in a timely manner and to refer to the appropriate specialist.

 Rational for propose change 

The current Wikipedia page does not elaborate on the wide range of treatments offered to people with CRAO, it does not mention a guideline or potential options that are used even if there is minimal effect of these treatments. Also, in the recent years, new treatments of CRAO have shown good results for affected people. The change made to this Wikipedia page will update all current treatment that can be used as a therapeutic modality for CRAO. Also, the current page emphases on the hyperbaric oxygen therapy even if it has been shown by the literature that it is not the first line of treatment for CRAO. The information to update this section have been found in the reference cited below.

There is some area of controversy around the treatment of CRAO mostly because there is still a limited amount of good quality studies on the subject. The main reasons for this is that there is an urgency to treat and it is consider a rare disease. The change made in this section does specify that CRAO have no specific treatment and that severals avenues should be looked at

Reference:

 Critique of Source 

The reference cited meet the wikipedia criteria for citation. It is a reviewed article published in a reputable journal, this decrease the amount of bias from this article. Also this article reflects current medical knowledge and propose adequate change in guidelines based on recent publication. However, this article does have outdated reference from 1980, this could contribute to include bias. This article was written in Europe in english language, this could include a language bias, however the authors selected articles that had been published worldwide which reduces this type of bias. This reference was selected based on this critique and the relevant information that it provide on the therapeutics modalities of CRAO.