Carter J E
Stroke. 1985 Jul-Aug;16(4):721-8. doi: 10.1161/01.str.16.4.721.
Venous stasis retinopathy and ischemic oculopathy are ocular manifestations of ischemia in the distribution of the carotid artery. While not as common as transient monocular blindness or retinal arterial emboli, they are readily recognizable and indicate the presence of severe, often bilateral, carotid occlusive disease. Patterns of occlusion vary but usually include complete occlusion of at least one common or internal carotid artery, often accompanied by occlusion or narrowing in the opposite carotid system. The ocular findings in venous stasis retinopathy and ischemic oculopathy indicate ongoing ocular ischemia and may progress to intractable neovascular glaucoma. Therapy, individualized for the specific pattern of occlusive changes, may be directed toward prevention of stroke or may be indicated primarily for the reversal of ocular ischemia and prevention of blindness secondary to neovascular glaucoma.
静脉淤滞性视网膜病变和缺血性眼病是颈动脉分布区域缺血的眼部表现。虽然不如短暂性单眼盲或视网膜动脉栓塞常见，但它们很容易识别，提示存在严重的、通常为双侧的颈动脉闭塞性疾病。闭塞模式各不相同，但通常包括至少一条颈总动脉或颈内动脉完全闭塞，常伴有对侧颈动脉系统闭塞或狭窄。静脉淤滞性视网膜病变和缺血性眼病的眼部表现提示眼部缺血持续存在，可能进展为难治性新生血管性青光眼。针对闭塞性改变的具体模式进行个体化治疗，可能旨在预防中风，或主要用于逆转眼部缺血及预防新生血管性青光眼继发的失明。
