Clinical Analysis of 42 Cases of Ocular Ischemic Syndrome
Ocular ischemic syndrome (OIS) is a severe ocular disease caused by ocular hypoperfusion due to stenosis or occlusion of the common or internal carotid arteries. OIS is easily misdiagnosed or undiagnosed given its asymptomatic onset and complicated ocular manifestations. The present study reviewed 4...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2018/2606147 |
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| author | Jingyi Luo Zhichao Yan Yu Jia Rongjiang Luo |
| author_facet | Jingyi Luo Zhichao Yan Yu Jia Rongjiang Luo |
| author_sort | Jingyi Luo |
| collection | DOAJ |
| description | Ocular ischemic syndrome (OIS) is a severe ocular disease caused by ocular hypoperfusion due to stenosis or occlusion of the common or internal carotid arteries. OIS is easily misdiagnosed or undiagnosed given its asymptomatic onset and complicated ocular manifestations. The present study reviewed 42 patients with OIS, including 30 males (71.43%), 29 older patients (69.05%, >61 yrs), and 35 patients (83.33%) with two or more systemic diseases. Only 6 patients had ocular symptoms as the initial signs upon visiting the Department of Ophthalmology of three hospitals (the First Affiliated Hospital, Sun Yat-sen University; Zhongshan Ophthalmic Center, Sun Yat-sen University; and the Second Affiliated Hospital, Guangzhou Medical University). The ocular symptoms varied from visual deterioration to periorbital pain. Thirty-seven patients (88.10%) complained of constitutional symptoms. Ocular manifestations were diverse and involved both anterior and posterior segments. We reported a case of corneal edema and corneal epithelium erosion in the ipsilateral eye due to internal carotid artery stenosis. As the clinical manifestations of OIS are complex, ophthalmologists must carefully examine patients to avoid a misdiagnosis or a failure to diagnose. The management of OIS requires cooperation with cardiologists and neurologists. |
| format | Article |
| id | doaj-art-bc4b422481b1415785a316a683e2c095 |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-bc4b422481b1415785a316a683e2c0952025-02-03T05:46:51ZengWileyJournal of Ophthalmology2090-004X2090-00582018-01-01201810.1155/2018/26061472606147Clinical Analysis of 42 Cases of Ocular Ischemic SyndromeJingyi Luo0Zhichao Yan1Yu Jia2Rongjiang Luo3Department of Ophthalmology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, ChinaState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, ChinaState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, ChinaDepartment of Ophthalmology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, ChinaOcular ischemic syndrome (OIS) is a severe ocular disease caused by ocular hypoperfusion due to stenosis or occlusion of the common or internal carotid arteries. OIS is easily misdiagnosed or undiagnosed given its asymptomatic onset and complicated ocular manifestations. The present study reviewed 42 patients with OIS, including 30 males (71.43%), 29 older patients (69.05%, >61 yrs), and 35 patients (83.33%) with two or more systemic diseases. Only 6 patients had ocular symptoms as the initial signs upon visiting the Department of Ophthalmology of three hospitals (the First Affiliated Hospital, Sun Yat-sen University; Zhongshan Ophthalmic Center, Sun Yat-sen University; and the Second Affiliated Hospital, Guangzhou Medical University). The ocular symptoms varied from visual deterioration to periorbital pain. Thirty-seven patients (88.10%) complained of constitutional symptoms. Ocular manifestations were diverse and involved both anterior and posterior segments. We reported a case of corneal edema and corneal epithelium erosion in the ipsilateral eye due to internal carotid artery stenosis. As the clinical manifestations of OIS are complex, ophthalmologists must carefully examine patients to avoid a misdiagnosis or a failure to diagnose. The management of OIS requires cooperation with cardiologists and neurologists.http://dx.doi.org/10.1155/2018/2606147 |
| spellingShingle | Jingyi Luo Zhichao Yan Yu Jia Rongjiang Luo Clinical Analysis of 42 Cases of Ocular Ischemic Syndrome Journal of Ophthalmology |
| title | Clinical Analysis of 42 Cases of Ocular Ischemic Syndrome |
| title_full | Clinical Analysis of 42 Cases of Ocular Ischemic Syndrome |
| title_fullStr | Clinical Analysis of 42 Cases of Ocular Ischemic Syndrome |
| title_full_unstemmed | Clinical Analysis of 42 Cases of Ocular Ischemic Syndrome |
| title_short | Clinical Analysis of 42 Cases of Ocular Ischemic Syndrome |
| title_sort | clinical analysis of 42 cases of ocular ischemic syndrome |
| url | http://dx.doi.org/10.1155/2018/2606147 |
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