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

 

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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

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Dr. Thomas J. Wolfensberger, PD

Jules Gonin Eye Hospital

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