White-centered retinal hemorrhage in ocular ischemic syndrome resolved after carotid artery stenting

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Abstract

Ocular ischemic syndrome (OIS) is characterized by ocular symptoms and signs that are secondary to severe carotid artery obstruction. We report a 69-year-old man who suffered from progressively blurred vision in both eyes. Fundus examination showed scattered areas of retinal hemorrhage, some with a white center, in both eyes. Fluorescence angiography revealed multiple microaneurysm-like hyperfluorescent spots over the retina mimicking diabetic retinopathy. Carotid Doppler ultrasonography revealed 90-95% stenosis of bilateral internal carotid arteries, and OIS was diagnosed. Thus, bilateral internal carotid artery stenting was performed. After treatment, the patient's visual acuity recovered within 1 month and the areas of white-centered retinal hemorrhage completely resolved within 6 months. © 2008 Elsevier. All rights reserved.

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Ho, T. Y., Lin, P. K., & Huang, C. H. (2008). White-centered retinal hemorrhage in ocular ischemic syndrome resolved after carotid artery stenting. Journal of the Chinese Medical Association, 71(5), 270–272. https://doi.org/10.1016/S1726-4901(08)70120-5

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