Diabetic retinopathy with repeated amaurosis fugax caused by orthostatic hypotension.
OBJECTIVE
To evaluate the blood flow velocity in the ophthalmic artery using color Doppler imaging in two patients who had diabetic retinopathy with amaurosis fugax caused by orthostatic hypotension.


METHODS
Interventional case reports.


METHODS
A 40-year-old woman (Case 1) and a 65-year-old man (Case 2) had diabetic retinopathy and amaurosis fugax caused by orthostatic hypotension. We evaluated the blood flow velocity in the ophthalmic artery using color Doppler imaging in the two patients.


METHODS
Department of Ophthalmology, Diabetes Center Tokyo Women's Medical University, Tokyo, Japan.


RESULTS
For Case 1, the maximum systolic blood flow velocity in the ophthalmic artery (V max) was 10 cm/sec in the supine position. In a seated position, visual acuity was decreased from 20/20 to light perception as V max fell to 1 cm/sec. For Case 2, the V max was 14 cm/sec in the supine position, but it was too low to measure in a seated position.


CONCLUSIONS
The decrease of V max by orthostatic hypotension may cause amaurosis fugax in patients with diabetic retinopathy.
Department of Ophthalmology, University of Tokyo School of Medicine, Tokyo, Japan. mimura@mbg.spere.ne.jp
Tatsuya
T
Mimura
Hideharu
H
Funatsu
Shigehiko
S
Kitano
Shiro
S
Amano
Kensuke
K
Haruyama
Erika
E
Shimizu
Makoto
M
Araie
Sadao
S
Hori
D000328:Adult; D000368:Aged; D020757:Amaurosis Fugax / Q000209:etiology* / Q000503:physiopathology; D001783:Blood Flow Velocity; D003930:Diabetic Retinopathy / Q000209:etiology* / Q000503:physiopathology; D005260:Female; D006801:Humans; D007024:Hypotension, Orthostatic / Q000150:complications* / Q000503:physiopathology; D008297:Male; D009880:Ophthalmic Artery / Q000502:physiology; D011187:Posture; D012008:Recurrence; D018615:Ultrasonography, Doppler, Color; D014792:Visual Acuity