LIGHT-INDUCED AMAUROSIS ASSOCIATED WITH CAROTID OCCLUSIVE DISEASE

被引:7
作者
ROBERTS, DK
SEARS, JM
机构
[1] The Illinois College of Optometry, The Illinois Eye Institute, Chicago, IL
关键词
CAROTID ARTERY BYPASS; LIGHT-INDUCED AMAUROSIS; VENOUS STASIS RETINOPATHY; OCULAR ISCHEMIC SYNDROME; PHOTOSTRESS TEST; TRANSIENT VISION LOSS;
D O I
10.1097/00006324-199211000-00009
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
A 74-year-old man with the isolated complaint of uni-ocular transient visual loss after exposure to bright light was found to have severe ipsilateral, atherosclerotic carotid occlusive disease. Signs of ocular ischemia that were present included slightly reduced visual acuity, mild afferent pupillary defect, lowered intraocular pressure, increased photostress recovery time, and reduced ophthalmodynamometry values on the affected side. After a subclavian to internal carotid artery bypass procedure, the patient's symptoms resolved completely and his ocular signs returned to normal. This patient's initial symptom, referred to as light-induced amaurosis (LIA), is an unfamiliar manifestation of the ocular ischemic syndrome. We discuss the condition and summarize the literature.
引用
收藏
页码:889 / 897
页数:9
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