Chronic ocular ischemia and neovascular glaucoma: a result of extracranial carotid artery disease.
J Vasc Surg
; 8(5): 551-7, 1988 Nov.
Article
em En
| MEDLINE
| ID: mdl-3184312
ABSTRACT
Severe occlusive disease of the carotid artery may produce a rare syndrome of chronic ocular ischemia. Prolonged retinal hypoxia is associated with characteristic funduscopic changes and neovascularization of the iris, with subsequent obstruction of aqueous humor resorption. A case of neovascular glaucoma as a result of severe bilateral carotid occlusive disease and the pathophysiology involved are discussed. Definitive treatment consisted of carotid endarterectomy and aggressive control of intraocular pressure, including operative placement of a drainage implant in the anterior chamber of the eye. Seizure activity and an exacerbation of glaucoma developed after successful revascularization, exemplifying the derangements in cerebral and ocular function that may result from chronic hypoperfusion.
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Base de dados:
MEDLINE
Assunto principal:
Arteriopatias Oclusivas
/
Doenças das Artérias Carótidas
/
Glaucoma Neovascular
/
Olho
/
Isquemia
Limite:
Female
/
Humans
/
Middle aged
Idioma:
En
Ano de publicação:
1988
Tipo de documento:
Article