Open AccessOCULAR DOPPLER IN BRAIN STROKE PATIENTS TO AID IN EARLY DIAGNOSIS OF EYE STROKE
Author(s) -
Reshma Ramakrishnan,
Sayali Amberkar,
Priyanka Gandhi
Publication year - 2020
Publication title -
international journal of scientific research
Language(s) - English
DOI - 10.36106/ijsr/5020309
Subject(s) - medicine , stroke (engine) , fundus (uterus) , eye examination , ophthalmic artery , ophthalmology , retinal artery occlusion , neurological examination , physical examination , visual acuity , cardiology , surgery , retinal , mechanical engineering , blood flow , engineering
Ischemic stroke presents an exceptionally large medical burden given that it is one of the leading causes of morbidity and mortality and is associated with high healthcare expenditures. A 51 years old female, case of right MCA territory infarct was referred from Medicine department to ophthalmic OPD with transient loss of vision in right eye since 2 days after the episode of stroke. She was hypertensive since 4 years. On slit lamp evaluation, anterior segment revealed immature senile cataract in both the eyes. Grade II RAPD was seen in right eye. Right eye fundus examination revealed a inferior hemiretinal artery occlusion and grade III hypertensive retinopathic changes. Left eye fundus examination showed grade III hypertensive retinopathic changes. Two dimensional echocardiographic study of cardiac valves and aorta and carotid doppler assist in locating embolic sources of retinal occlusions along with ocular doppler. Therefore, it is necessary to screen all patients who present in the emergency room with stroke or history of stroke to provide early diagnosis and improve visual prognosis.We would also like to emphasise that there is a need to spread awareness among all physicians for the need of routine ophthalmic consult for all hypertensive patients. In stroke patients, an ophthalmic consult should be done on the day of stroke for better visual care and prognosis. If ocular doppler along with carotid doppler is introduced as primary investigation in emergency room, it might help in early diagnosis, early intervention and aid in prevention of visual loss.