13 KB441 KB12 KB192920262010Cvetičanin, BrankoGodina-Kariž, StankaKariž, Stojan4 straniletnik:79str. I-181-I-184številka:suplementISSN:1318-0347COBISSID:27828441URN:URN:NBN:SI:doc-7DI3WIXOenSlovensko zdravniško društvoZdravniški vestnikAgedarterijeCarotid Artery, InternalCarotid StenosisCataractGlaucomaGlavkomishemijaKarotidna arterija internaKarotidna stenozaKataraktaLaser CoagulationLaserska koagulacijaOcular HypertensionoftalmologijaOko, hipertenzijaprognozaStarostnikitherapyUltrasonographyVid, ostrinaVisual AcuityzdravljenjeOcular ischemic syndrome as initial manifestation of bilateral internal carotid artery occlusion| Sindrom očesne ishemije kot začetni znak obojestranske zapore notranjih karotidnih arterij|Background: Ocular ischemic syndrome (OIS) is characterized by ocular symptomsand signs secondary to severe carotid artery stenosis or occlusion. Methods and results: The authors describe a case of a 66-year-old man, a smoker with hyperlipidemia, who presented with a three-day history of pain over his left eye associated with redness. Visual acuity (VA) of the left eye was 6/18, with marked anterior chamber flare, unreactive dilated pupil, rubeosis of the angle and intraocular pressure of 30 mmHg. Fundus examination showed marked venous stasis with cotton-wool spots. VA of the right eye was 6/6, with mild venous stasis. No bruits were heard on carotid auscultation. Carotid Doppler ultrasonography revealed complete occlusion of both internal carotid arteries (ICAćs) which was confirmed by CT-angiography. Endarterectomyof ICAćs could not be performed. Three months later panretinal argon laser photocoagulation in the left eye was performed. One year later theleft eye VA was perception of light with progression of neovascular glaucoma and development of cataract. No deterioration was noted and VA remained stable 6/6 in the right eye. Conclusions: OIS has a poor visual prognosis, and treatment is primarily aimed at management of the underlying carotid occlusive disease. Cliniciansv should be aware of the signs and symptoms of carotid artery disease in order to facilitate prompt diagnosis andappropriate referralTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaSlovensko zdravniško društvo