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Síndrome ocular isquêmica simulando retinopatia diabética unilateral: relato de caso e revis o da literatura Ischemic ocular syndrome simulating unilateral diabetic retinopathy: case report and literature review

DOI: 10.1590/s0034-72802012000400009

Keywords: Estenose das carótidas , Artéria carótida interna , Endarterectomia das carótidas , Retinopatia diabética , Isquemia , Síndrome , Relatos de caso , Carotid stenosis , Carotid artery , internal , Endarterectomy , carotid , Diabetic retinopathy , Ischemia , Syndrome , Case reports

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Abstract:

A síndrome ocular isquêmica (SOI) ocorre devido à hipoperfus o ocular cr nica secundária à obstru o da artéria carótida. O quadro clínico inclui, entre outros, retinopatia proliferativa similar a retinopatia diabética. A SOI deve ser considerada principalmente nas retinopatias proliferativas unilaterais ou muito assimétricas e nos casos refratários ao tratamento por fotocoagula o. A indica o da endarterectomia nos pacientes com SOI isolada n o é bem definida. Este trabalho relata uma paciente com SOI simulando retinopatia diabética proliferativa unilateral e tratada por endarterectomia. Ischemic ocular syndrome (IOS) is caused by stenosis of carotid artery. Proliferative retinopathy is one of the signs and can lead to misdiagnosis with diabetic retinopathy. IOS must be considered in case of proliferative retinopathy asymmetric and refractory to laser treatment. Carotid endarterectomy in patients with IOS with no neurologic manifestations remains controversy. This paper reported a patient with IOS simulating diabetic retinopathy and treated with endarterectomy.

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