Síndrome ocular isquêmica: relato de caso

Ocular ischemic syndrome: case report

RESUMO

A Síndrome Ocular Isquémica (SOI) defíne o quadro de sinais e sintomas oculares secundários à obstrução severa da artéria carótida comum ou interna. Geralmente se manifesta de forma unilateriil e ocorre em pacientes acima de 50 anos de idade, associando-se com freqüência a alterações sistêmicas e elevada taxa de mortalidade.Apresentamos um caso de SOI e analisamos as manifestações clínicas e os achados da angiofluoresceinografía, duplex Doppler de carótidas, angiografia por ressonância magnética e tesief eletrofisiológicos da retina.Discutimos ainda o diagnóstico diferenciale os aspectos terapêuticos desta síndrome que é poucodescrita na literatura nacional.

Palavras-chaves:
Síndrome Ocular Isquémica; Artéria carótida; Retina

SUMMARY

Ocular signs and symptoms secundary to severe common or internal carotid artery occlusion are named OIS. This is usually unilateral, occurs in patients over 50 years of age and is frequently associated with sistemic diseases and a high mortality rate. We describe herein a case of OIS and analyze its clinical manifestations and findings of fluorescein angiography, carotid duplex Doppler, carotid magnetic ressonance, ERG and EOG. We also discuss the diferencial diagnosis and the manage-ment of this syndrome wich is poorly reported in our literature.

Key words:
Ocular Ischemic Syndrome; Carotid artery; Retina

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• Realizado no Departamento de Oftalmologia do HC-FMUSP.

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Datas de Publicação

• Publicação nesta coleção
  Apr 1998