Analysis and curative effect of ocular ischemic diseases caused by carotid artery stenosis
- Authors:
- Yitao Yan
- Xinli Zhang
- Yuxin Yang
- Liying Han
- Huimin Wang
- Junxi Hu
View Affiliations
Affiliations: Department of Ophthalmology, The First Affiliated Hospital of Xinxiang Medical University, Weihui, Henan 453100, P.R. China, Department of Ophthalmology, The Second People's Hospital of Xinxiang, Xinxiang, Henan 453000, P.R. China, Department of Ophthalmology, Nanyang Eye Hospital, Nanyang, Henan 473014, P.R. China
- Published online on: February 27, 2013 https://doi.org/10.3892/etm.2013.979
-
Pages:
1310-1314
Metrics: Total
Views: 0 (Spandidos Publications: | PMC Statistics: )
Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )
This article is mentioned in:
Abstract
Carotid artery stenosis is a notable cause of ocular ischemic disease. To analyze the ocular ischemic diseases caused by carotid artery stenosis and to seek effective treatment, a retrospective review of 182 patients with carotid artery stenosis was performed. These patients were administered medical treatment, carotid artery stenting (CAS) or carotid endarterectomy (CEA) and the curative effects of the three different treatments were compared. The results demonstrated that all three treatments helped to improve the disease. Both carotid endarterectomy and carotid artery stenting were more effective than medical treatment (P<0.05). There was no significant difference between carotid endarterectomy and carotid artery stenting (P>0.05). In conclusion, timely diagnosis and suitable treatment for ocular ischemic diseases caused by carotid artery stenosis are necessary due to the complicated clinical manifestation. This study suggested that carotid endarterectomy and carotid artery stenting are effective techniques that may relieve this disease.
View References
1.
|
Wang YL, Zhao L, Huang YX, Feng X and Li
MM: Clinical characteristics of ocular ischemic syndromes. Zhonghua
Yan Ke Za Zhi. 45:1080–1083. 2009.(In Chinese).
|
2.
|
Zheng Y, Hua Y, Ling C, et al: Correlation
analysis between risk factors of carotid artery stenosis and
ischemic stroke. Chin J Ultrasound Diagnosis. 5:4–6. 2004.
|
3.
|
Zhao HQ, Pan XD, Wang JH, et al: Common
causes of carotid artery stenosis. Foreign Med Sci (Section of
Cranial vascular disease). 12:4972004.
|
4.
|
Zhang HR: Ocular changes caused by carotid
artery obstruction or stenosis. Eye Encyclopedia (middle volume).
Li FM: People’s Medical Publishing House; Beijing: pp. 2306–2308.
1995
|
5.
|
Takaki Y, Nagata M, Shinoda K, et al:
Severe acute ocular ischemia associated with spontaneous internal
carotid artery dissection. Int Ophthalmol. 28:447–449. 2008.
View Article : Google Scholar : PubMed/NCBI
|
6.
|
Telman G, Kouperberg E, Nitecki S, et al:
Cerebral hemodynamics in symptomatic and asymptomatic patients with
severe unilateral carotid stenosis before and after carotid
endarterectomy. Eur J Vasc Endovasc Surg. 32:375–378. 2006.
View Article : Google Scholar : PubMed/NCBI
|
7.
|
Chen CS and Miller NR: Ocular ischemic
syndrome: review of clinical presentations, etiology,
investigation, and management. Compr Ophthalmol Update. 8:17–28.
2007.PubMed/NCBI
|
8.
|
Havelius U, Bergqvist D, Hindfelt B and
Krakau T: Improved dark adaptation after carotid endarterectomy.
Evidence of a long-term Ischemic penumbra Neurology. 49:1360–1364.
1997.PubMed/NCBI
|
9.
|
Wolintz RJ: Carotid endarterectomy for
ophthalmic manifestations: is it ever indicated? J Neuroophthalmol.
25:299–302. 2005. View Article : Google Scholar : PubMed/NCBI
|
10.
|
Faries PL, Chaer RA, Patel S, Lin SC,
DeRubertis B and Kent KC: Current management of extracranial
carotid artery disease. Vasc Endovascular Surg. 40:165–175. 2006.
View Article : Google Scholar : PubMed/NCBI
|
11.
|
Malhotra R and Gregory-Evans K: Management
of ocular ischemic syndrome. Br J Ophthalmol. 84:1428–1431. 2000.
View Article : Google Scholar
|