A Case of Ocular Ischemic Syndrome.

Lee, Joung Koo; Sohn, Joon Hong; Yoon, Young Hee

Case Report

Journal of the Korean Ophthalmological Society 1995;36(4):708-712.
Published online April 1, 1995.

A Case of Ocular Ischemic Syndrome.

Joung Koo Lee, Joon Hong Sohn, Young Hee Yoon

Department of Ophthalmology, College of Medicine, University of Ulsan, Asan Medical Center, Seoul, Korea.

안허혈증후근 1 예

이정구(Joung Koo Lee),손준홍(Joon Hong Sohn),윤영희(Young Hee Yoon)

Abstract

Ocular ischemic syndrome is an uncommon ocular condition occurring secondary to marked carotid arterial obstruction. It generally develops in older patients, in conjunction with entities associated with systemic artherosclerosis. We have currently encountered a case of monocular visual loss in a 65 year old patient who had a recent attack of cerebrovascular accident. Ocular examination revealed characteristic findings of chronic ischemia, including corneal edema, rubeosis, anterior uveitis, progressing cataract, retinal arterial narrowing, venous irregular dilatation and scattered retinal hemorrhages. Diagnosis was made by the fluorescein angiographic findings of prolonged retinal circulation time and diffuse capillary non perfusion as well as by carotid MR-Angiographic finding of complete obstruction of internal caratid artery.

Key Words: Carotid arterial obstruction;Carotid MR-Angiography;Chronic ischemia;Ocular ischemic syndrome