title: White-centered retinal hemorrhage in ocular ischemic syndrome resolved after carotid artery stenting.
abstract: 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 angiography 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 patients visual acuity recovered within 1 month and the areas of white-centered retinal hemorrhage completely resolved within 6 months.
authors.affiliation: Division of Retina, Department of Ophthalmology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
authors.forename: Tsung-Yu
authors.initials: TY
authors.lastname: Ho
authors.forename: Po-Kang
authors.initials: PK
authors.lastname: Lin
authors.forename: Cheng-Hsiung
authors.initials: CH
authors.lastname: Huang
mesh_terms: D000368:Aged; D002339:Carotid Arteries; D016893:Carotid Stenosis / Q000150:complications / Q000628:therapy*; D005123:Eye / Q000098:blood supply*; D006801:Humans; D007511:Ischemia / Q000209:etiology*; D008297:Male; D012166:Retinal Hemorrhage / Q000209:etiology*; D015607:Stents; D013577:Syndrome