Initial Clinical Manifestations of Ocular Ischemic Syndrome in Koreans.

Jo, Yeon Ji; Choi, Seung Kwon; Park, Sun Ho; Lee, Jae Jung; Lee, Ji Eun; Park, Sung Who

doi:2019.60.12.1231

J Korean Ophthalmol Soc > Volume 60(12); 2019 > Article

Original Article

Journal of the Korean Ophthalmological Society 2019;60(12):1231-1237.
DOI: https://doi.org/10.3341/jkos.2019.60.12.1231 Published online December 15, 2019.

Initial Clinical Manifestations of Ocular Ischemic Syndrome in Koreans.

Yeon Ji Jo, Seung Kwon Choi, Sun Ho Park, Jae Jung Lee, Ji Eun Lee, Sung Who Park

Department of Ophthalmology, Pusan National University School of Medicine, Yangsan, Korea. oph97@naver.com

한국인 안허혈증후군환자의 초기 임상양상

조연지 · 최승권 · 박선호 · 이재정 · 이지은 · 박성후

부산대학교 의과대학 안과학교실

Correspondence: Sung Who Park,
Email: oph97@naver.com

Received: 7 June 2019 • Revised: 11 July 2019 • Accepted: 6 December 2019

Abstract

PURPOSE
To evaluate the clinical features of ocular ischemic syndrome in Koreans. METHODS: The medical records of patients who were presumed to have ocular ischemic syndrome by ophthalmic examination, and confirmed by carotid artery imaging, were retrospectively reviewed from 2010 to 2017. RESULTS: A total of 22 patients and 27 eyes were included in the study. Twenty patients were male. The average age was 64.2 years. Fifteen patients had hypertension and fifteen patients had diabetes mellitus. Twenty-one patients presented with acute visual impairment at the initial visit. The average best-corrected visual acuity (BCVA) was a LogMAR of 0.89 ± 0.65, with an average IOP of 16.1 ± 6.9 mmHg. Elevated IOP > 21 mmHg was noted in five eyes (18.5%). Iris neovascularization was the most common (13 eyes, 48.1%) feature in the anterior segment. Retinal hemorrhage was the most common feature in the fundus examination (23 eyes, 85.2%). The average central submacular thickness was 255.0 µm, and there was no macular edema except for one case with vitreomacular traction syndrome on optical coherent tomography. CONCLUSIONS: A total of 90.9% of patients with ocular ischemic syndrome were males > 50 years of age. Most patients presented with acute visual impairment. There was no macular edema on optical coherent tomography of all eyes.

Key Words: Carotid artery stenosis;Macular edema;Ocular ischemic syndrome