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Carotid artery ectasia coexistent with primary open angle glaucoma
Author(s) -
Ellis Mark F,
Scott Mark,
Erwin Groeneveld
Publication year - 2001
Publication title -
clinical and experimental ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.3
H-Index - 74
eISSN - 1442-9071
pISSN - 1442-6404
DOI - 10.1046/j.1442-9071.2001.00367.x
Subject(s) - medicine , ectasia , open angle glaucoma , glaucoma , visual field , ophthalmology , optic neuropathy , internal carotid artery , optic nerve , intraocular pressure , optic chiasm , pupil , radiology , surgery , neuroscience , biology
A 60‐year‐old smoker presented with high intraocular pressure in the right eye with a right afferent pupil defect and visual field suggestive of primary open angle glaucoma in the right eye only, when an examination 2 years earlier had revealed no hint of ocular pathology. Radiological investigations demonstrated prominent ectasia of the internal carotid arteries extending into the proximal middle cerebral arteries. The changes in the carotids extended throughout the cavernous sinus regions, encroached on the under surface of the optic chiasm and were closely related to the internal aspects of both optic canals. In primary open angle glaucoma management, neural imaging is not normally recommended; however, neural imaging investigations should be considered if the presentation is not typical of a chronic bilateral optic neuropathy.