A Case of Ocular Ischemic Syndrome.

Lee, Byung Joon; Cho, Kyu Ryong

Original Article

Journal of the Korean Ophthalmological Society 1991;32(10):923-928.
Published online October 1, 1991.

A Case of Ocular Ischemic Syndrome.

Byung Joon Lee, Kyu Ryong Cho

Department of Ophthalmology, College of Medicine, Busan University, Busan, Korea.

안허혈증후군 1 예

이병준(Byung Joon Lee),조규룡(Kyu Ryong Cho)

Abstract

Ocular ischemic syndrome, characterized by rubeosis iridis, anterior uveitis, retinal arterial narrowing, retinal hemorrhage, cherry red spot, and neovascularization of the disc and/ or retina, is due to anterior and posterior segment ischemia caused by carotid artery obstruction. A 67-year-old man presented a typical ocular ishemic syndrome. The patient complained marked visual disturbance of the both eyes and headache for 15 days. On slit-lamp examination, there were no abnormal findings of the cornea, iris, and lens. Funduscopic finding revealed bilateral edema of the optic disc, marked attenuation of the arteriole with focal constriction, and dilatation of the veins. Fluorescein angiography showed prolonged arm-to-retinal circulation and retinal arteriovenous transit time, multiple microaneurysms, and staining retinal vessels of the both eyes. About 1+1/2 months later, iritis, rubeosis iridis, and cataract of both eyes were noticed. In carotid angiogram the left internal carotid artery was completely occluded, and the right internal carotid artery was incompletely occluded. About 7 months later, he died of CVA.

Key Words: Anterior uveitis;Carotid artery;Fluorescein angiography;Neovascularization;Ocu lar ischemic syndrome;Rubeosis iridis