%0 Journal Article
%T S¨ªndrome ocular isqu¨ºmica simulando retinopatia diab¨¦tica unilateral: relato de caso e revis o da literatura Ischemic ocular syndrome simulating unilateral diabetic retinopathy: case report and literature review
%A Frederico Castelo Moura
%A Vitor Kazuo Lotto Takahashi
%A Eduardo Minelli
%J Revista Brasileira de Oftalmologia
%D 2012
%I Sociedade Brasileira de Oftalmologia
%R 10.1590/s0034-72802012000400009
%X A s¨ªndrome ocular isqu¨ºmica (SOI) ocorre devido ¨¤ hipoperfus o ocular cr nica secund¨¢ria ¨¤ obstru  o da art¨¦ria car¨®tida. O quadro cl¨ªnico inclui, entre outros, retinopatia proliferativa similar a retinopatia diab¨¦tica. A SOI deve ser considerada principalmente nas retinopatias proliferativas unilaterais ou muito assim¨¦tricas e nos casos refrat¨¢rios ao tratamento por fotocoagula  o. A indica  o da endarterectomia nos pacientes com SOI isolada n o ¨¦ bem definida. Este trabalho relata uma paciente com SOI simulando retinopatia diab¨¦tica 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.
%K Estenose das car¨®tidas
%K Art¨¦ria car¨®tida interna
%K Endarterectomia das car¨®tidas
%K Retinopatia diab¨¦tica
%K Isquemia
%K S¨ªndrome
%K Relatos de caso
%K Carotid stenosis
%K Carotid artery
%K internal
%K Endarterectomy
%K carotid
%K Diabetic retinopathy
%K Ischemia
%K Syndrome
%K Case reports
%U http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802012000400009