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  • Title: White-centered retinal hemorrhage in ocular ischemic syndrome resolved after carotid artery stenting.
    Author: Ho TY, Lin PK, Huang CH.
    Journal: J Chin Med Assoc; 2008 May; 71(5):270-2. PubMed ID: 18490234.
    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 patients visual acuity recovered within 1 month and the areas of white-centered retinal hemorrhage completely resolved within 6 months.
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