A Case of Ocular Ischemic Syndrome.
- Author:
Joung Koo LEE
1
;
Joon Hong SOHN
;
Young Hee YOON
Author Information
1. Department of Ophthalmology, College of Medicine, University of Ulsan, Asan Medical Center, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Carotid arterial obstruction;
Carotid MR-Angiography;
Chronic ischemia;
Ocular ischemic syndrome
- MeSH:
Aged;
Arteries;
Capillaries;
Cataract;
Corneal Edema;
Diagnosis;
Dilatation;
Fluorescein;
Humans;
Ischemia;
Perfusion;
Retinal Hemorrhage;
Retinaldehyde;
Stroke;
Uveitis, Anterior
- From:Journal of the Korean Ophthalmological Society
1995;36(4):708-712
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Ocular ischemic syndrome is an uncommon ocular condition occurring secondary to marked carotid arterial obstruction. It generally develops in older patients, in conjunction with entities associated with systemic artherosclerosis. We have currently encountered a case of monocular visual loss in a 65 year old patient who had a recent attack of cerebrovascular accident. Ocular examination revealed characteristic findings of chronic ischemia, including corneal edema, rubeosis, anterior uveitis, progressing cataract, retinal arterial narrowing, venous irregular dilatation and scattered retinal hemorrhages. Diagnosis was made by the fluorescein angiographic findings of prolonged retinal circulation time and diffuse capillary non perfusion as well as by carotid MR-Angiographic finding of complete obstruction of internal caratid artery.
