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Arterial obstruction and ocular neovascularization.

G C Brown, L E Magargal, F A Simeone

    Ophthalmology
    |February 1, 1982
    PubMed
    Summary

    Ocular ischemic syndrome, linked to arterial obstructive disease, causes neovascular glaucoma. This condition presents with specific anterior and posterior eye segment changes due to reduced blood flow.

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    Area of Science:

    • Ophthalmology
    • Vascular Medicine

    Background:

    • Neovascular glaucoma can be a severe complication of ocular ischemic syndrome.
    • Arterial obstructive disease significantly impacts ocular health.

    Purpose of the Study:

    • To describe the clinical presentation of neovascular glaucoma in patients with ocular ischemic syndrome.
    • To correlate ocular findings with underlying arterial obstructive disease.

    Main Methods:

    • Case series of 12 patients (13 eyes) diagnosed with neovascular glaucoma and arterial obstructive disease.
    • Clinical examination of anterior and posterior segments of the eye.

    Main Results:

    • Anterior segment findings included aqueous flare and rubeosis iridis.
    • Posterior segment findings included intraretinal hemorrhages, narrowed retinal arteries, and neovascularization.

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  • Common carotid artery obstruction was frequently observed.
  • Conclusions:

    • Neovascular glaucoma in this cohort is strongly associated with ocular ischemic syndrome.
    • Ocular ischemic syndrome is often caused by carotid artery obstruction.