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A Manifestation of Carotid Artery Disease

Lucy H. Y. Young, MD; Richard E. Appen, MD

Arch Neurol. 1981;38(6):358-361.

Abstract
• Six patients experienced ischemic oculopathy, a condition in which there is ischemia in both the anterior and posterior segments of the eye caused by occlusive carotid artery disease. The abnormalities in the anterior segment include episcleral vascular congestion, anterior chamber flare and cells, a mid-dilated, sluggish, or unreactive pupil, rubeosis iridis, and abnormal intraocular pressure. The posterior segment abnormalities include ischemic insults to the retina or optic nerve, venous-stasis retinopathy, and low ophthalmodynamometry values. Ophthalmodynamometry is particularly helpful in recognizing the pathogenesis of this disorder. Superficial temporal artery-middle cerebral artery anastomosis surgery may have particular merit for patients with ischemic oculopathy.

Author Affiliations
From the Department of Ophthalmology, University of Wisconsin Center for Health Sciences, Madison.

Footnotes
Accepted for publication Oct 5, 1980.

Reprint requests to Department of Ophthalmology, University of Wisconsin Center for Health Sciences, 600 Highland Ave, Madison, WI 53792 (Dr Appen).

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