Open AccessOcular ischemic syndrome: A classical presentation of an uncommon condition
Author(s) -
Jayesh Vazirani,
Zoramthara Zadeng,
Mangat R Dogra,
Gupta Ak
Publication year - 2014
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/0301-4738.97083
Subject(s) - medicine , fluorescein angiography , fundus (uterus) , presentation (obstetrics) , angiography , ischemia , ophthalmology , radiology , referral , disease , retinal , cardiology , family medicine
We report a 47-year-old male who presented with acute mono-ocular vision loss, and had classical signs of global ocular ischemia in the right eye. Fundus fluorescein angiography demonstrated delayed choroidal filling and no perfusion of retinal vasculature. Carotid Doppler and computed tomogram (CT) angiography studies revealed extensive bilateral atherosclerotic disease involving the carotid circulation. Ophthalmologists must be aware of the possibility of this potentially fatal condition, which is extremely rare. An astute clinical diagnosis, targeted workup for systemic associations and a prompt referral may turn out to be life-saving.