Glaucoma and ocular ischemic syndrome 
– case report

Hanna Pecold-Stępniewska; Mał­go­rza­ta Ka­rol­czak­-K­ul­esza; Ro­bert Wa­si­le­wicz; Zbi­gniew Kra­siń­ski; Je­rzy Ku­le­sza

eISSN: 2719-3209
ISSN: 0023-2157

Klinika Oczna / Acta Ophthalmologica Polonica Supplement

Current supplement Archive Acta Ophthalmologica Polonica

1-2/2004
vol. 106

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abstract:

Short report

Glaucoma and ocular ischemic syndrome – case report

Hanna Pecold-Stępniewska

¹

,

Małgorzata Karolczak-Kulesza

¹

,

Robert Wasilewicz

¹

,

Zbigniew Krasiński

²

,

Jerzy Kulesza

³

Z Kliniki i Katedry Okulistyki Akademii Medycznej im. K. Marcinkowskiego w Poznaniu
Z II Katedry Chirurgii Kliniki Chirurgii Ogólnej i Naczyń Akademii Medycznej im. K. Marcinkowskiego w Poznaniu
Z Zakładu Radiologii Klinicznej Katedry Radiologii Akademii Medycznej im. K. Marcinkowskiego w Poznaniu

KLINIKA OCZNA 2004, Supl. 1-2: S258–S260

Online publish date: 2022/12/30

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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.

Conclusions
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.

keywords:

Glaucoma and ocular ischemic syndrome – case report

Hanna Pecold-Stępniewska 1 , Mał­go­rza­ta Ka­rol­czak­-K­ul­esza 1 , Ro­bert Wa­si­le­wicz 1 , Zbi­gniew Kra­siń­ski 2 , Je­rzy Ku­le­sza 3

glaucoma, ocular ischemic syndrome, carotid artery occlusive disease, endarterectomy

Hanna Pecold-Stępniewska

¹

,

Małgorzata Karolczak-Kulesza

¹

,

Robert Wasilewicz

¹

,

Zbigniew Krasiński

²

,

Jerzy Kulesza

³