INTRAOCULAR-PRESSURE IN CAROTID-ARTERY DISEASE

Endarterectomy or carotid bypass surgery may improve ocular bloodflow to an ischaemic eye but additional ocular complications may result. In this patient there was a close association between ophthalmic artery pressure and intraocular pressure (IOP). Carotid bypass surgery was followed by an elevation of the IOP which then underwent a gradual reduction reflecting the development of a stenotic lesion in the graft. The importance of considering the diagnosis of chronic ocular ischaemia in patients presenting with asymmetrical IOP is emphasized.