|
NR 1-2/2004
SUPLEMENT
|
|
|
|
|
|
|
|
|
Jaskra a oczny
zespół niedokrwienny – opis przypadku
Glaucoma and ocular ischemic
syndrome – case report
Hanna Pecold-Stępniewska, Małgorzata
Karolczak-Kulesza, Robert Wasilewicz, Zbigniew Krasiński1,
Jerzy Kulesza2
Z Kliniki i Katedry Okulistyki Akademii Medycznej im. K.
Marcinkowskiego w Poznaniu
Kierownik: prof. dr hab. n. med. Krystyna Pecold
1Z II Katedry Chirurgii Kliniki Chirurgii Ogólnej i
Naczyń Akademii Medycznej im. K. Marcinkowskiego w Poznaniu
Kierownik: prof. dr hab. n. med. Stanisław Zapalski
2Z Zakładu Radiologii Klinicznej Katedry Radiologii
Akademii Medycznej im. K. Marcinkowskiego w Poznaniu
Kierownik: dr hab. n. med. Piotr Sosnowski |
|
|
| Summary: |
Purpose: Ocular
ischemic syndrome (OIS) is often poorly diagnosed and
treated as primary open angle glaucoma or later on, as
neovascular glaucoma. We present a 54 year old male,
treated topical since 23 years for glaucoma and sent to
our clinic for trabeculectomy because of rapid worsening
of vision on right eye with bilateral total excavation
of optic disc.
Material and methods: Observational case report.
Results: Because of typical signs of IOS (iris
neovascularization, mid-peripheral dot and blot
hemorrhages in both eyes, narrowed arterioles in right
eye, following examinations were performed: Doppler
ultrasonography of carotid arteries, digital
subtractional angiography of the carotid vessels and
magnetic resonance angiography. The examinations showed
occlusion of the right common carotid artery and with
80% stenosis of the left common carotid artery,
occlusion of abdominal aorta. After phacoemulsification
with implantation of intraocular lens because of rapid
intumescence cataract in the right eye, and
endarterectomy of left external carotid artery, the
neovascularization of the iris regressed in both eyes.
Conclusion: In case of iris neovascularization or
mid-peripheral hemorrhages the Doppler sonography of
carotid arteries should be performed. Quick cooperation
between ophthalmologist, radiologist and vascular
surgeon following endarterectomy seems to stop
progressing changes of ocular ischemic syndrome. |
| Słowa kluczowe: |
jaskra, oczny zespół
niedokrwienny, zwężenie tętnicy szyjnej, endarterektomia. |
| Key words: |
glaucoma, ocular ischemic
syndrome, carotid artery occlusive disease,
endarterectomy. |
|
|
|
|
|
|
