경동맥 스텐트 삽입술로 완치된 안허혈증후군 1례

• 영문명: Ocular Ischemic Syndrome Successfully Treated With Carotid Angioplasty and Stenting
• 발행기관: 대한안과학회
• 저자명: 한용섭 유웅선 정인영 박종문,Yong Seop Han, MD, Woong Sun Yoo, MD, In Young Chung, MD,, Jong Moon Park, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume51,number3, 447~452쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2010.03.15

영문 초록

Purpose: To report a case of ocular ischemic syndrome successfully treated with delayed carotid angioplasty and stenting (CAS). Case summary: A 52-year-old male was admitted to our hospital because of amaurosis fugax- like symptoms in the right eye for several months. His visual acuity was 0.8 in the right eye and he did not have rubeosis iridis. Neovascularization of the disc, narrowing of the retinal artery and multiple retinal hemorrhages were diagnosed by fundus examination. Fluorescein angiography showed delayed choroidal filling, a delayed arm-to-retina time, prolongation of arteriovenous transit time, neovascularization of the disc, retinal capillary nonperfusion, and staining of the retinal vessels. MR angiography showed severe stenosis in the proximal portion of the right carotid artery. We diagnosed this case as ocular ischemic syndrome. The patient was recommended carotid angioplasty and stenting at the severely narrowed portion of the right carotid artery, but it was postponed about six months after diagnosis because of personal problems. At the final follow-up, 24 months after stenting, the amaurosis fugax symptoms had disappeared, the patient had an improved visual acuity of 1.0, and the new vessels on the disc changed to fibrous tissue. Fluorescein angiography showed resolution of the delayed arm-to-retina time and prolongation of the arteriovenous transit time, disappearances of the leakage around the disc and the retinal capillary nonperfusion. J Korean Ophthalmol Soc 2010;51(3):447-452

키워드

Amaurosis fugax, Carotid angioplasty and stenting(CAS), Ocular ischemic syndrome