Journal of the Chinese Medical Association
Volume 71, Issue 5 , Pages 270-272, May 2008

White-centered Retinal Hemorrhage in Ocular Ischemic Syndrome Resolved After Carotid Artery Stenting

  • Tsung-Yu Ho

      Affiliations

    • Division of Retina, Department of Ophthalmology, National Yang-Ming University School of Medicine, Taipei, Taiwan, R.O.C.
    • ,
  • Po-Kang Lin

      Affiliations

    • Division of Retina, Department of Ophthalmology, National Yang-Ming University School of Medicine, Taipei, Taiwan, R.O.C.
    • Department of Ophthalmology, National Yang-Ming University School of Medicine, Taipei, Taiwan, R.O.C.
    • Corresponding Author InformationCorrespondence to: Dr Po-Kang Lin, Department of Ophthalmology, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Road, Taipei 112, Taiwan, R.O.C
    • ,
  • Cheng-Hsiung Huang

      Affiliations

    • Department of Surgery, Taipei Veterans General Hospital, National Yang-Ming University School of Medicine, Taipei, Taiwan, R.O.C.

Received 29 August 2007; accepted 3 January 2008.

Article Outline

Ocular ischemic syndrome (OIS) is characterized by ocular symptoms and signs that are secondary to severe carotid artery obstruction. We report a 69-year-old man who suffered from progressively blurred vision in both eyes. Fundus examination showed scattered areas of retinal hemorrhage, some with a white center, in both eyes. Fluorescence angiog-raphy revealed multiple microaneurysm-like hyperfluorescent spots over the retina mimicking diabetic retinopathy. Carotid Doppler ultrasonography revealed 90–95% stenosis of bilateral internal carotid arteries, and OIS was diagnosed. Thus, bilateral internal carotid artery stenting was performed. After treatment, the patient's visual acuity recovered within 1 month and the areas of white-centered retinal hemorrhage completely resolved within 6 months. [J Chin Med Assoc 2008;71(5):270–272]

Key Words:  carotid artery , diabetic retinopathy , ocular ischemic syndrome , stent , white-centered hemorrhage

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PII: S1726-4901(08)70120-5

doi:10.1016/S1726-4901(08)70120-5

Journal of the Chinese Medical Association
Volume 71, Issue 5 , Pages 270-272, May 2008

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