Document Detail

Papilloarterial Ischemia.
MedLine Citation:
PMID:  7294638     Owner:  NLM     Status:  MEDLINE    
Six cases of vascularly induced disc edema are described. Patients were all fairly young, with only slight and mostly transient visual decrease in spite of impaired pupillary reflexes (three cases) and altitudinal field defects. Bilateral, though asymmetric, involvement was detected in three cases. The fundus showed a usually pale disc; the emerging arteries always presented segmental constrictions and signs of inflammation (sheathing) or sclerosis (increased reflexes). The peripapillary retina showed splinter hemorrhages and cotton-wool spots. Fluorescein angiography typically showed slow retinal circulation times with arterial laminar flow often persisting well into the venous stages. The disc and peripapillary choroid showed patchy ischemia. Fluorescein leaked at the disc in all cases, often in an irregular fashion and with a tendency for dye to run along the initial arterial segments. History and medical workups were noncontributory. Three patients with evidence of inflammatory arterial disease (vitreous cells, periarterial cuffing, and fluorescein staining of the vessel walls) improved with systemic steroids. In the remaining three the papilloarterial ischemia was diagnosed as caused by premature arteriosclerosis. This vascular condition differs from ischemic optic neuropathy, in which retinal arteries are not obviously involved, and from papillophlebitis, in which the retinal vascular involvement, when present, is limited to the veins.
M H Kottow
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of ophthalmology     Volume:  13     ISSN:  0003-4886     ISO Abbreviation:  Ann Ophthalmol     Publication Date:  1981 Aug 
Date Detail:
Created Date:  1981-12-21     Completed Date:  1981-12-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0210137     Medline TA:  Ann Ophthalmol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  963-9     Citation Subset:  IM    
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MeSH Terms
Arteriosclerosis / complications
Arteritis / complications
Diagnosis, Differential
Edema / etiology
Fluorescein Angiography
Fundus Oculi
Ischemia / etiology*
Middle Aged
Optic Disk / blood supply*
Retinal Vessels*
Vascular Diseases / complications

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

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