白内障手術後に眼虚血症候群を発症した1例

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  • Development of Ocular Ischemic Syndrome Following Cataract Surgery in Patient with Carotid Artery Stenosis

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Purpose. To report a case of branch retinal artery occlusion including the ophthalmic artery posterior to the optic disk following cataract surgery in a patient with bilateral internal carotid artery stenosis. Case report. A 75-year-old woman underwent phacoemulsification and intraocular lens implantation in her right eye. The surgery was uneventful. A month later, her vision of the operated eye decreased and an inferior altitudinal visual field defect was found, and ophthalmoscopy revealed two superior branch retinal artery occlusions. Fluorescein angiography showed extremely delayed infusion of the two arteries and the vessels in the disk. The single flash, rod-cone electroretinogram had a negative-type pattern. Magnetic resonance imaging angiography and Doppler echography demonstrated bilateral carotid artery stenosis. The avascular area of the retina was photocoagulated, and aspirin was prescribed. No further ocular complications occurred.

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