title: [Immediate improvement of ischemic oculopathy after stenting for internal carotid artery stenosis].
abstract: Ocular ischemic syndrome occurs when ocular circulation becomes impaired owing to various causes, leading to disturbances in the visual function. It ultimately progresses to neovascular glaucoma and loss of sight. Therefore, the early diagnosis and treatment of patients with ocular ischemic syndrome has a major effect on their visual prognosis. Herein, we describe a patient who complained of decreased vision in one eye. The patient was subsequently diagnosed with internal carotid artery stenosis because of neovascularity (rubeosis iridis) around the iris in the anterior eye. The vision of the patient improved immediately after carotid artery stenting. A review of the literature indicated that the visual improvement could be attributed to the reversal of retrograde blood flow, caused by internal carotid artery stenosis, to normal levels; the resolution of rubeosis in the anterior eye; and improvement in the visual field constriction.
authors.affiliation: Department of Neurosurgery, Tokyo Women's Medical University Medical Center East.
authors.forename: Naoyuki
authors.initials: N
authors.lastname: Arai
authors.forename: Atsushi
authors.initials: A
authors.lastname: Sasahara
authors.forename: Shinji
authors.initials: S
authors.lastname: Hagiwara
authors.forename: Shigeru
authors.initials: S
authors.lastname: Tani
authors.forename: Hidenori
authors.initials: H
authors.lastname: Ohbuchi
authors.forename: Kengo
authors.initials: K
authors.lastname: Hirota
authors.forename: Hirokazu
authors.initials: H
authors.lastname: Koseki
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Kuroi
authors.forename: Hiroko
authors.initials: H
authors.lastname: Ohkuma
authors.forename: Masao
authors.initials: M
authors.lastname: Matsubara
authors.forename: Morito
authors.initials: M
authors.lastname: Hayashi
authors.forename: Satoshi
authors.initials: S
authors.lastname: Iwabuchi
authors.forename: Hidetoshi
authors.initials: H
authors.lastname: Kasuya
mesh_terms: D000368:Aged; D002343:Carotid Artery, Internal / Q000601:surgery*; D016893:Carotid Stenosis / Q000150:complications / Q000628:therapy*; D005123:Eye / Q000098:blood supply*; D005128:Eye Diseases / Q000209:etiology*; D005260:Female; D006801:Humans; D007511:Ischemia / Q000175:diagnosis / Q000601:surgery*; D015607:Stents; D016896:Treatment Outcome