Klin Monbl Augenheilkd 2010; 227(4): 338-339
DOI: 10.1055/s-0029-1245220
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© Georg Thieme Verlag KG Stuttgart · New York

Sequential Central Retinal Artery Occlusion and Retinal Vein Stasis as a Result of Ocular Ischemic Syndrome

Sequenzieller Zentralarterienverschluss und Zentralvenenstasis bei okulärem ischämischem SyndromJ.-A. C. Pournaras, L. Konstantinidis, T. J. Wolfensberger
Further Information

Publication History





Publication Date:
20 April 2010 (online)

Background

Ocular ischemic syndrome is the result of chronic and slowly progressive ocular hypoperfusion related to severe carotid obstruction. Multiple systemic diseases may be implicated in this syndrome, such as systemic arterial hypertension, coronary and cerebrovascular disease as well as diabetes [1] [2]. Ocular vasculitis or Horton’s disease associated with systemic inflammatory diseases should also be included in the potential causes of ocular ischemic syndrome.

Several anterior and posterior segment clinical signs have been described, representing the clinical picture of the ocular ischemic syndrome, posterior segment clinical signs being more frequent than anterior ones [1] [3].

We report the case of a patient presenting a sequential arterial and capillary occlusion associated with venous stasis, occurring during the evolution of an ocular ischemic syndrome.

References

  • 1 Mendrinos E, Machinis T G, Pournaras C J. Ocular ischemic syndrome.  Surv Ophthalmol. 2010;  55 2-34
  • 2 Mizener J B, Podhajsky P, Hayreh S S. Ocular ischemic syndrome.  Ophthalmology. 1997;  104 859-864
  • 3 Brown G C, Magargal L E. The ocular ischemic syndrome. Clinical, fluorescein angiographic and carotid angiographic features.  Int Ophthalmol. 1988;  11 239-251
  • 4 Sivalingam A, Brown G C, Magargal L E. The ocular ischemic syndrome. III. Visual prognosis and the effect of treatment.  Int Ophthalmol. 1991;  15 15-20
  • 5 The Framingham Study. NIH 77 – 1247.Table 6 – 9, Section 29, Table A-22 and A-23, Section 32. Public Health Service Publication 1977 6: 84-85

Dr. Thomas J. Wolfensberger, PD

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