[Follow-up results of surgical correction of ocular ischemic syndrome].
The influence of surgeries in the carotid arteries produced on the visual functions and ocular blood circulation was studied in patients with ocular ischemic syndrome (OIS) during the remote postoperative period. A total of 180 patients with OIS (including 104 patients with an acute OIS clinical course and 76 patients with primary chronic clinical course) and with a pronounced stenosis of the carotid arteries were examined preoperatively and postoperatively within 1 or 2 years. A reliably improved visual acuity (preoperatively -0.37 +/- 0.05; and postoperatively -0.52 +/- 0.07; p < 0.01), positive dynamics in the electric sensitivity threshold and in a lability of the optic nerve were observed in patients with the acute OIS clinical course after reconstructive surgeries in the carotid arteries. An increase in contrast sensitivity of the visual analyzer was detected in 28.8% of patients with the acute clinical course and in 10.5% of patients with the chronic OIS clinical course. An improved blood circulation through the ocular artery was stated in patients of both groups. Reconstructive surgeries in the carotid arteries are most effective in correcting the acute OIS clinical variation.
Kiseleva
T N
TN
Tarasova
L N
LN
Fokin
A A
AA
Bogdanov
A G
AG
D000208:Acute Disease; D020757:Amaurosis Fugax / Q000209:etiology*; D016893:Carotid Stenosis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D015350:Contrast Sensitivity; D005123:Eye / Q000098:blood supply*; D005260:Female; D005500:Follow-Up Studies; D005902:Glaucoma, Open-Angle / Q000150:complications; D006801:Humans; D007511:Ischemia / Q000209:etiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009430:Neural Analyzers / Q000502:physiology; D009880:Ophthalmic Artery / Q000502:physiology; D009900:Optic Nerve / Q000502:physiology; D009901:Optic Nerve Diseases / Q000150:complications; D015356:Retinal Artery Occlusion / Q000150:complications* / Q000000981:diagnostic imaging; D012164:Retinal Diseases / Q000150:complications; D013577:Syndrome; D013997:Time Factors; D018608:Ultrasonography, Doppler; D014792:Visual Acuity