Two Patients with a Rapid Increase in the Ocular Pressure after Carotid Artery Stenting for Cervical Internal Carotid Artery Stenosis with Ocular Ischemic Syndrome

Tomohiro Kawano; Kiyotaka Saito; Takako Hidaka; Natsuki Kajihara; Hideki Chuman; Hajime Ohta; Kiyotaka Yokogami; Hideo Takeshima

doi:10.5797/jnet.cr.2018-0039

This article has now been updated. Please use the final version.

Two Patients with a Rapid Increase in the Ocular Pressure after Carotid Artery Stenting for Cervical Internal Carotid Artery Stenosis with Ocular Ischemic Syndrome

Tomohiro Kawano, Kiyotaka Saito, Takako Hidaka, Natsuki Kajihara, Hideki Chuman, Hajime Ohta, Kiyotaka Yokogami, Hideo Takeshima

Author information

Tomohiro Kawano
Department of Neurosurgery, Division of Clinical Neuroscience, Faculty of Medicine, University of Miyazaki, Miyazaki, Miyazaki, Japan
Kiyotaka Saito
Department of Neurosurgery, Division of Clinical Neuroscience, Faculty of Medicine, University of Miyazaki, Miyazaki, Miyazaki, Japan
Takako Hidaka
Department of Ophthalmology, Faculty of Medicine, University of Miyazaki, Miyazaki, Miyazaki, Japan
Natsuki Kajihara
Department of Ophthalmology, Faculty of Medicine, University of Miyazaki, Miyazaki, Miyazaki, Japan
Hideki Chuman
Department of Ophthalmology, Faculty of Medicine, University of Miyazaki, Miyazaki, Miyazaki, Japan
Hajime Ohta
Department of Neurosurgery, Division of Clinical Neuroscience, Faculty of Medicine, University of Miyazaki, Miyazaki, Miyazaki, Japan
Kiyotaka Yokogami
Department of Neurosurgery, Division of Clinical Neuroscience, Faculty of Medicine, University of Miyazaki, Miyazaki, Miyazaki, Japan
Hideo Takeshima
Department of Neurosurgery, Division of Clinical Neuroscience, Faculty of Medicine, University of Miyazaki, Miyazaki, Miyazaki, Japan

Keywords: cervical internal carotid artery stenosis, stenting, neovascular glaucoma, ocular ischemic syndrome, diabetic retinopathy

JOURNAL OPEN ACCESS Advance online publication

Article ID: cr.2018-0039

DOI https://doi.org/10.5797/jnet.cr.2018-0039

The final version of this article is now available: Vol. 12 (2018), No. 11 pp. 553-559

Details

Abstract

Objective: We report two patients with a rapid increase in the ocular pressure after carotid artery stenting (CAS) for cervical internal carotid artery stenosis with ocular ischemic syndrome.

Case Presentations: Case 1 was a 67-year-old male. Case 2 was a 70-year-old male. In the two patients, a reduction in vision and transient hemiparesis had persisted for a few months, leading to a diagnosis of severe internal carotid artery stenosis. Furthermore, they were diagnosed with ocular ischemic syndrome and neovascular glaucoma. Panretinal photocoagulation was performed before CAS in the Department of Ophthalmology. In Case 1, ocular pain appeared 9 days after CAS. In Case 2, it appeared the day after CAS, and increased ocular pressure was noted. After conservative treatment, trabeculectomy was performed, but the visual prognosis was unfavorable.

Conclusion: In patients with severe internal carotid artery stenosis and ocular ischemic syndrome, there may be a rapid increase in the ocular pressure after revascularization. Therefore, it is necessary to establish a cross-sectional treatment strategy in cooperation with ophthalmologists.

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