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[Ocular ischemic syndrome].

S Abraham1, N Feucht, C P Lohmann

  • 1Augenklinik, Klinikum rechts der Isar, Ismaningerstr. 22, 81675, München, Deutschland, Sophia.Abraham@mri.tum.de.

Der Ophthalmologe : Zeitschrift Der Deutschen Ophthalmologischen Gesellschaft
|December 7, 2014
PubMed
Summary
This summary is machine-generated.

Ocular ischemic syndrome, a severe condition, can lead to complete vision loss due to carotid artery stenosis. Prompt intervention is crucial for preserving sight in at-risk patients.

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Area of Science:

  • Ophthalmology
  • Vascular Surgery
  • Cardiology

Background:

  • Ocular ischemic syndrome (OIS) is a severe condition resulting from impaired blood flow to the eye.
  • Risk factors include carotid artery disease, hypertension, and diabetes.

Observation:

  • A 76-year-old patient presented with reduced visual acuity, rubeosis iridis, and dilated retinal veins.
  • Fluorescein angiography showed peripheral retinal ischemia.

Findings:

  • Despite panretinal laser coagulation, the patient experienced progressive vision loss.
  • Magnetic resonance angiography revealed severe internal carotid artery stenosis and left ophthalmic artery occlusion.

Implications:

  • This case highlights the critical link between carotid artery stenosis and OIS.
  • Early diagnosis and management of carotid artery disease are essential to prevent irreversible vision loss.
  • Multidisciplinary collaboration between ophthalmology and vascular surgery is vital for optimal patient outcomes.