Bilateral Decreased Vision and Cotton-Wool Spots in a 42-Year-Old Man

Morales, José; Corona, Jorge; Langford, John D.; Shami, Michel; Abdul-Rahim, Aziz S.

doi:10.1016/s0039-6257(02)00284-9

Cited by 5 publications

(7 citation statements)

References 24 publications

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“…This may be owing to the rarity of cases as many patients with ocular ischaemic syndrome do not undergo cataract surgery owing to a poor visual prognosis in many of them, and as the condition is not in itself common. [2][3][4][5] However, in this patient early effective treatment with laser therapy in the years prior to cataract surgery had left the patient with good vision.…”

Section: Discussionmentioning

confidence: 96%

“…4,9 However, progression to ocular ischaemic syndrome tends to carry a very guarded prognosis. [2][3][4][5] Local treatment with PRP can induce regression of rubeosis iridisFnevertheless, visual prognosis is unpredictable, and while it is poor for most patients, as this case shows a good visual outcome is still feasible through effective use of PRP by ophthalmologists. 5 Carotid endartectomy by a specialist in vascular surgery can help stabilise ocular ischaemic syndrome and improve visual outcome.…”

Section: Discussionmentioning

confidence: 99%

“…[2][3][4][5] Local treatment with PRP can induce regression of rubeosis iridisFnevertheless, visual prognosis is unpredictable, and while it is poor for most patients, as this case shows a good visual outcome is still feasible through effective use of PRP by ophthalmologists. 5 Carotid endartectomy by a specialist in vascular surgery can help stabilise ocular ischaemic syndrome and improve visual outcome. 4,6 Superficial temporal to middle cerebral artery bypass has also been performed by vascular surgeons and/or neurosurgeons, who have claimed some benefit in ocular ischaemic syndrome.…”

Section: Discussionmentioning

confidence: 99%

“…[2][3][4][5] Vision was 2/60 in the left eye due to Figure 2 Gadolinium-enhanced axial T1-weighted MRI shows a mass at the right petrous apex extending forward into Meckel's cave and the cavernous sinus with intense inhomogeneous peripheral ring enhancement.…”

Section: Casementioning

confidence: 99%

See 3 more Smart Citations

Cataract surgery using phacoemulsification may reactivate angiogenic growth factors in ocular ischaemic syndrome

Zaidi

Sharkawi

Weir

et al. 2004

Eye

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Casementioning

confidence: 99%

See 2 more Smart Citations

Cataract surgery using phacoemulsification may reactivate angiogenic growth factors in ocular ischaemic syndrome

Zaidi

Sharkawi

Weir

et al. 2004

Eye

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“…On examination of patients with OIS, typical findings include unilateral or bilateral decrease in visual acuity [18]. Slit-lamp and ophthalmoscopic examination may also reveal conjunctival hyperemia, prominent conjunctival vessels, and anterior chamber inflammation.…”

Section: Clinical Manifestationsmentioning

confidence: 99%

Ocular ischemic syndrome: recent trends in medical management

Hazin

Daoud

Khan

2009

Current Opinion in Ophthalmology

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Bilateral Common Carotid Artery Occlusion in Spontaneously Hypertensive Rats: A Feasible Animal Model for Ocular Ischemic Syndrome

Wang¹,

Fan

Zhang

et al. 2016

The Anatomical Record

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The purpose of this study was to investigate the feasibility of inducing ocular ischemic syndrome in spontaneously hypertensive rats. Hypertensive and normotensive Wistar-Kyoto rats had bilateral occlusion or sham surgery. They were divided into 4 groups: (1) hypertensive-ischemia, (2) hypertensive-sham, (3) normotensive-ischemia, and (4) normotensive-sham. Four months after the operation, the global changes of the eye and pupillary light reflex were assessed. Then each rat was perfused, and randomly one of the bulbuses oculi was prepared as retinal flat mounts for investigation of vascular changes. The opposite eyeball was prepared as a paraffin section for observation of the linear density of retinal ganglion cells and for thickness measurement. One hypertensive-ischemia rat had a cataract in one eye and another rat in the same group had bulbus oculi collapse in one eye. The light reflex disappeared in 13.33% of hypertensive-ischemia rats, and the rest of the hypertensive-ischemia rats and normotensive-ischemia rats had slow reflex. Compared with the respective controls, the peripheral retinal vascular network in hypertensive-ischemia and normotensive-ischemia rats was sparse; linear density of the retinal ganglion cells was significantly reduced; and the retinal thickness was reduced.

show abstract

Bilateral Decreased Vision and Cotton-Wool Spots in a 42-Year-Old Man

Cited by 5 publications

References 24 publications

Cataract surgery using phacoemulsification may reactivate angiogenic growth factors in ocular ischaemic syndrome

Cataract surgery using phacoemulsification may reactivate angiogenic growth factors in ocular ischaemic syndrome

Ocular ischemic syndrome: recent trends in medical management

Bilateral Common Carotid Artery Occlusion in Spontaneously Hypertensive Rats: A Feasible Animal Model for Ocular Ischemic Syndrome

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