Document Detail


Ophthalmodynamometric diagnosis of unilateral ischemic ophthalmopathy.
MedLine Citation:
PMID:  12470765     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To describe a patient presenting with typical signs of vascular occlusive retinopathy. DESIGN: Observational case report. METHODS: A 65-year-old man experienced painless unilateral loss of vision to 4/20 in his left eye. Ophthalmoscopy of the left eye showed pronounced attenuation of the retinal arterioles, ischemic retinal edema, and a few intraretinal hemorrhages. Fluorescein angiography revealed a diffusely reduced retinal perfusion typical of retinal occlusive disease. Using a new ophthalmodynamometer with a pressure sensor at the mounting support of a conventional Goldmann contact lens, we additionally measured the diastolic central retinal artery collapse pressure. RESULTS: The diastolic central retinal artery collapse pressure was significantly lower in the left eye than in the right eye (14.7 +/- 2.4 relative units vs 51.7 +/- 4.3 relative units; P <.001). Both values were significantly (P =.03) lower than those in a control group (80.9 +/- 6.9 relative units). Doppler sonography revealed a total occlusion of the left carotid artery and a nonrelevant stenosis of the right carotid artery. CONCLUSIONS: A new ophthalmodynamometric device consisting of a pressure sensor at the mounting support of a Goldmann contact lens was helpful in detecting carotid artery occlusion leading to ischemic ophthalmopathy.
Authors:
Jost B Jonas; Antje Niessen
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of ophthalmology     Volume:  134     ISSN:  0002-9394     ISO Abbreviation:  Am. J. Ophthalmol.     Publication Date:  2002 Dec 
Date Detail:
Created Date:  2002-12-09     Completed Date:  2003-01-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370500     Medline TA:  Am J Ophthalmol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  911-2     Citation Subset:  AIM; IM    
Affiliation:
Department of Ophthalmology, Faculty of Clinical Medicine Mannheim, University of Heidelberg, Mannheim, Germany. Jost.Jonas@augen.ma.uni-heidelberg.de
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MeSH Terms
Descriptor/Qualifier:
Aged
Arterial Occlusive Diseases / diagnosis
Carotid Arteries / ultrasonography
Fluorescein Angiography
Humans
Ischemia / diagnosis*
Male
Ophthalmodynamometry / instrumentation,  methods*
Ophthalmoscopy
Pressure
Retinal Artery / pathology*
Retinal Artery Occlusion / diagnosis*
Ultrasonography, Doppler
Visual Acuity

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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