Nothing Special   »   [go: up one dir, main page]

Skip to main content

Advertisement

Log in

The ocular ischemic syndrome

Clinical, fluorescein angiographic and carotid angiographic features

  • Published:
International Ophthalmology Aims and scope Submit manuscript

Abstract

The records of 43 consecutive patients (51 eyes) with the ocular ischemic syndrome (ocular symptoms and signs attributable to severe carotid artery obstruction) were studied in a retrospective fashion. Men comprised 67% of the group and the mean age at presentation was 64.5 years. In the anterior segment, neovascularization of the iris was observed in 66% of eyes and iritis was noted in 18%. Posterior segment signs included narrowed retinal arteries and dilated, but not tortuous, retinal veins. Mid-peripheral retinal hemorrhages were seen in 80% of eyes, posterior segment neovascularization was observed in 37%, and a cherry red spot was noted in 12%. Fluorescein angiography commonly revealed delayed choroidal and retinal filling, while electroretinography generally demonstrated a reduction in the amplitude of both the a-and b-waves.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Brown GC, Magargal LE, Simeone FA et al. Arterial obstruction and ocular neovascularization. Ophthalmol. 1982; 89: 139–46.

    Google Scholar 

  2. Brown GC. Isolated central retinal artery obstruction in association with ocular neovascularization. Am J Ophthalmol 1983; 96: 110–1.

    Google Scholar 

  3. Brown GC, Magargal LE, Schachat A et al. Neovascular glaucoma. Etiologic considerations. Ophthalmol. 1984; 91: 315–20.

    Google Scholar 

  4. Brown GC. Central retinal vein obstruction. Diagnosis and management. In Reineck RD (ed.), Ophthalmol. Ann. Norwalk: Appleton-Century-Crofts, 1985; 65–97.

    Google Scholar 

  5. Brown GC. Macular edema in association with severe carotid artery obstruction. Am J Ophthalmol 1986; 102: 442–8.

    Google Scholar 

  6. Bullock JD, Falter RT, Downing JE et al. Ischemic ophthalmia secondary to an ophthalmic artery occlusion. Am J Ophthalmol 1972; 74: 486–93.

    Google Scholar 

  7. Carr RE, Siegel JM. Electrophysiologic aspects of several retinal diseases. Am J Ophthalmol 1964; 58: 95–107.

    Google Scholar 

  8. David NJ, Norton EWD, Gass JD et al. Fluorescein angiography in central retinal artery occlusion. Arch Ophthalmol 1967; 77: 619–29.

    Google Scholar 

  9. Hayreh SS, Podhajsky P. Ocular neovascularization with retinal vascular occlusion. II. Occurrence in central and branch retinal artery occlusion. Arch Ophthalmol 1982; 100: 1585–96.

    Google Scholar 

  10. Henkes HE. Electroretinography in circulatory disturbances of the retina. II. The electroretinogram in cases of occlusion of the central retinal artery or of one of its branches. Arch Ophthalmol 1954; 51: 42–53.

    Google Scholar 

  11. Henkind P. Ocular neovascularization. Am J Ophthalmol 1978; 85: 287–301.

    Google Scholar 

  12. Huckman MS, Haas J. Reversed flow through the ophthalmic artery as a cause of rubeosis iridis. Am J Ophthalmol 1972; 74: 1084–9.

    Google Scholar 

  13. Kahn M, Green WR, Knox DL, Miller NR. Ocular features of carotid occlusive disease. Retina 1986; 6: 239–52.

    Google Scholar 

  14. Kearns TP, Hollenhurst RW. Venous-stasis retinopathy of occlusive disease of the carotid artery. Proc Mayo Clin 1963; 38: 304–12.

    Google Scholar 

  15. Kearns TP. Ophthalmology and the carotid artery. Am J Ophthalmol 1979; 88: 714–22.

    Google Scholar 

  16. Kearns TP. Differential diagnosis of central retinal vein obstruction. Ophthalmology 1983; 90: 475–80.

    Google Scholar 

  17. Kearns TP, Sickert RG, Sundt TM. The ocular aspects of bypass surgery of the carotid artery. Proc Mayo Clin 1979; 54: 3–11.

    Google Scholar 

  18. Kobayashi S, Hollenhorst RW, Sundt TM. Retinal arterial pressure before and after surgery for carotid artery stenosis. Stroke 1971; 2: 569–75.

    Google Scholar 

  19. Knox DL. Ischemic ocular inflammation. Am J Ophthalmol 1965; 60: 995–1002.

    Google Scholar 

  20. Magargal LE, Sanborn GE, Zimmerman A. Venous stasis retinopathy associated with embolic obstruction of the central retinal artery. J Clin Neuro-ophthalmol 1982; 2: 113–8.

    Google Scholar 

  21. Michelson PE, Knox DL, Green WR. Ischemic ocular inflammation. A clinicopathologic case report. Arch Ophthalmol 1971; 86: 274–80.

    Google Scholar 

  22. Ridley M, Walker P, Keller A et al. Ocular perfusion in carotid artery disease. Poster presentation, Am Acad Ophthalmol. New Orleans, 1986.

    Google Scholar 

  23. Schlaegel T. Symptoms and signs of uveitis. In Duane TD (ed.) Clinical Ophthalmology, Vol. 4. Hagerstown: Harper & Row, 1983, Chap 32, pp 1–7.

    Google Scholar 

  24. Sturrock GD, Mueller HR. Chronic ocular ischemia. Br J Ophthalmol 1984; 68: 716–23.

    Google Scholar 

  25. Young LHY, Appen RE. Ischemic oculopathy; a manifestation of carotid artery disease. Arch Neurol 1981; 38: 358–61.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Brown, G.C., Magargal, L.E. The ocular ischemic syndrome. Int Ophthalmol 11, 239–251 (1988). https://doi.org/10.1007/BF00131023

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00131023

Key words

Navigation