Retinal manifestations of ophthalmic artery hypoperfusion.
Ophthalmic artery hypoperfusion is a relatively uncommon clinical entity. This study illustrates the posterior segment findings of ophthalmic artery hypoperfusion in a series of nine patients. Colour photographs and relevant fluorescein angiograms highlighting the findings are shown. The retinal manifestations of ophthalmic artery hypoperfusion in this series of patients include midperipheral haemorrhages, dilated retinal veins, optic disk collaterals, optic disk neo-vascularization, cotton wool spots, grey intraretinal lesions, fundus pallor, optic disk swelling and choroidal infarcts. Recognition of the ophthalmic changes in this condition may lead to detection of carotid artery disease, the surgical and medical treatment of which has important bearing on patient management.
Ong
Terrence J
TJ
Department of Neuro-Ophthalmology, The Royal Victorian Eye and Ear Hospital, Melbourne, Victoria, Australia.
Paine
Mark
M
O'Day
Justin
J
D000368:Aged; D000369:Aged, 80 and over; D001157:Arterial Occlusive Diseases / Q000150:complications* / Q000175:diagnosis; D015862:Choroid Diseases / Q000175:diagnosis / Q000209:etiology; D003097:Collateral Circulation; D005260:Female; D005451:Fluorescein Angiography; D006801:Humans; D007511:Ischemia / Q000175:diagnosis / Q000209:etiology; D008297:Male; D008875:Middle Aged; D009880:Ophthalmic Artery; D009898:Optic Disk / Q000098:blood supply / Q000473:pathology; D010211:Papilledema / Q000175:diagnosis / Q000209:etiology; D012164:Retinal Diseases / Q000175:diagnosis / Q000209:etiology*; D015861:Retinal Neovascularization / Q000175:diagnosis / Q000209:etiology; D012171:Retinal Vessels / Q000473:pathology