Clinical Features of Ophthalmic Artery Hypoperfusion.

Mun, Su Joung; Lee, Ki Hwan; Lee, Dong Uk; Cho, Nam Chun

Original Article

Journal of the Korean Ophthalmological Society 2007;48(2):297-302.
Published online February 28, 2007.

Clinical Features of Ophthalmic Artery Hypoperfusion.

Su Joung Mun, Ki Hwan Lee, Dong Uk Lee, Nam Chun Cho

Department of Ophthalmology, Chonbuk National University, College of Medicine1, Jeonju, Korea. cnaun@chonbuk.ac.kr

안동맥 저관류의 임상양상

문수정,이기환,이동욱,조남천

Department of Ophthalmology, Chonbuk National University, College of Medicine¹, Jeonju, Korea

Correspondence: Su Joung Mun, M.D.

Abstract

PURPOSE
The purpose of the study is to investigate the clinical features and relation of systemic disease of ophthalmic artery hypoperfusion (OAH). METHODS: We reviewed the records of 20 eyes of 19 ophthalmic artery hypoperfusionpatients who were followed up for 1month or more. The clinical outcome were reviewed, retrospectively. RESULTS: The patients' chief complain was sudden visual loss (14 eyes, 70.0%) and at initial visit, eyes with OAH had mean visual acuity more than or equal 0.5 in 55.0%. The most common ocular sign is the retinal hemorrhage and choroidal infarction and the most associated systemic disease in these patients is the hypertension in 63.2%. Normal patency or mild changes of the internal carotid artery was seen in 75.0% on the side of OAH. CONCLUSIONS: Ophthalmic artery hypoperfusion has a comparatively good visual prognosis. However, the ophthalmologist's diagnosis may be crucial to the health of these patients, because OAH includes ocular ischemic syndrome that may be the presenting sign of serious cerebrovascular and ischemic heart disease.

Key Words: Ophthalmic artery hypoperfusion;Ocular ischemic syndrome