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CC BY-NC-ND 4.0 · Journal of Clinical Interventional Radiology ISVIR 2020; 4(03): 189-192
DOI: 10.1055/s-0040-1705267
Case Report

Ocular Ischemic Syndrome: The Red Eye Revisited

Sathya Narayanan
1   Department of Interventional Radiology, Division of Clinical Radiology, Christian Medical College, Vellore, Tamil Nadu, India
,
Shyamkumar N. Keshava
1   Department of Interventional Radiology, Division of Clinical Radiology, Christian Medical College, Vellore, Tamil Nadu, India
,
Vinu Moses
1   Department of Interventional Radiology, Division of Clinical Radiology, Christian Medical College, Vellore, Tamil Nadu, India
,
Aswin Padmanabhan
1   Department of Interventional Radiology, Division of Clinical Radiology, Christian Medical College, Vellore, Tamil Nadu, India
,
Prabhu Premkumar
2   Department of Vascular Surgery, Christian Medical College, Vellore, Tamil Nadu, India
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Abstract

Ocular ischemic syndrome (OIS) is a vision-threatening condition due to inadequate arterial supply to the orbital contents. OIS is commonly described secondary to severe carotid artery stenosis and most often observed by ophthalmologists. However, OIS may rarely also result in an interventional radiology setup during balloon test occlusion (BTO) of the internal carotid artery. BTO is a procedure to assess for the adequacy of the circle of Willis to compensate for a permanent parent arterial sacrifice by temporarily occluding the flow in the internal carotid artery using a balloon. Here, we present a case of OIS in a patient who underwent BOT as a part of presurgical evaluation for the excision of carotid body tumor.

Keywords

ocular ischemic syndrome - angiography - balloon test occlusion


Publication History

Article published online:
23 April 2020

© 2020. Indian Society of Vascular and Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Vazirani JA, Zadeng Z, Dogra MR, Gupta A. Ocular ischemic syndrome: a classical presentation of an uncommon condition. Indian J Ophthalmol 2014; 62 (05) 658-660
    CrossrefPubMedGoogle Scholar
  • 2 Kearns TP, Hollenhorst RW. Venous-stasis retinopathy of occlusive disease of the carotid artery. Proc Staff Meet Mayo Clin 1963; 38: 304-312
    PubMedGoogle Scholar
  • 3 Terelak-Borys B, Skonieczna K, Grabska-Liberek I. Ocular ischemic syndrome - a systematic review. Med Sci Monit 2012; 18 (08) RA138-RA144
    CrossrefPubMedGoogle Scholar
  • 4 Russell EJ, Goldberg K, Oskin J, Darling C, Melen O. Ocular ischemic syndrome during carotid balloon occlusion testing. AJNR Am J Neuroradiol 1994; 15 (02) 258-262
    PubMedGoogle Scholar
  • 5 Brown GC, Magargal LE. The ocular ischemic syndrome. Clinical, fluorescein angiographic and carotid angiographic features. Int Ophthalmol 1988; 11 (04) 239-251
    CrossrefPubMedGoogle Scholar
  • 6 Serbinenko FA. Balloon catheterization and occlusion of major cerebral vessels. J Neurosurg 1974; 41 (02) 125-145
    CrossrefPubMedGoogle Scholar
  • 7 Gonzalez CF, Moret J. Balloon occlusion of the carotid artery prior to surgery for neck tumors. AJNR Am J Neuroradiol 1990; 11 (04) 649-652
    PubMedGoogle Scholar
  • 8 Linskey ME, Jungreis CA, Yonas H. et al. Stroke risk after abrupt internal carotid artery sacrifice: accuracy of preoperative assessment with balloon test occlusion and stable xenon-enhanced CT. AJNR Am J Neuroradiol 1994; 15 (05) 829-843
    PubMedGoogle Scholar
  • 9 American Society of Interventional and Therapeutic Neuroradiology. Carotid artery balloon test occlusion. AJNR Am J Neuroradiol 2001; 22 (08) Suppl S8-S9
    PubMedGoogle Scholar
  • 10 Sudhakar KV, Sawlani V, Phadke RV, Kumar S, Ahmed S, Gujral RB. Temporary balloon occlusion of internal carotid artery: a simple and reliable clinical test. Neurol India 2000; 48 (02) 140-143
    PubMedGoogle Scholar