AIM: To investigate the application of optical coherence tomography(OCT)examination to determine the feasibility and clinical value of retinal artery occlusion of this kind of emergency among the eyesight drops suddenly patients awaiting diagnosis due to refractive medium.

METHODS:Seventy-eight eyesight drops suddenly and awaiting diagnosis patients accepting OCT inspections and confirmed by fundus fluoresceai angiography(FFA)in our hospital were retrospectively analyzed. With FFA examination as the judging standard and with OCT examination as the evaluation means of inspection, the statistics of OCT sensitivity, specificity and accuracy were counted using the statistical software. The statistics of method sensitivity and the total coincidence rate, specific degrees were counted using statistical software, then to statistically analyze the time difference of two methods from the clinic doctors prescribed checklist to report was given.

RESULTS:The sensitivity of OCT examination, specific degrees and the total coincidence rate were very high, 100%, 94.1% and 98.4%, respectively. From the clinic physicians prescribe the checklist to report available, the OCT examination time significantly shorter than the FFA(P=0.000), the difference was statistically significant.

CONCLUSION: Clinically to the eyesight drops suddenly patients awaiting diagnosis due to refractive medium, OCT examination should be used first to determine whether for retinal artery obstruction diseases, in order to more quickly treat patients and to win time of rescue vision.