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Abstract #19083 Published in IGR 3-1
Carotid artery ectasia coexistent with primary open angle glaucoma
Ellis MF; Scott M; Erwin GClinical and Experimental Ophthalmology 2001; 29: 44-46
A 60-year-old smoker presented with high intraocular pressure in the right eye with a right afferent pupil defect and visual field suggestive of primary open-angle glaucoma in the right eye only, when an examination two years earlier had revealed no hint of ocular pathology. Radiological investigations demonstrated prominent ectasia of the internal carotid arteries extending into the proximal middle cerebral arteries. The changes in the carotids extended throughout the cavernous sinus regions, encroached on the under surface of the optic chiasm and were closely related to the internal aspects of both optic canals. In primary open-angle glaucoma management, neural imaging is not normally recommended; however, neural imaging investigations should be considered if the presentation is not typical of a chronic bilateral optic neuropathy.
Dr M.F. Ellis, Hawthorn Eye Clinic, 829 Glenferrie Road, Kew, Vic. 3101, Australia
Classification:
9.4.15 Glaucoma in relation to systemic disease (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders)