Skip to main content
SpringerLink
Log in

Classification of Ophthalmic Artery Flow in Patients with Occlusive Carotid Artery Disease

  • LABORATORY INVESTIGATION
  • Published:
Japanese Journal of Ophthalmology Aims and scope Submit manuscript

Abstract

Purpose

To investigate and classify the ophthalmic artery (OA) flow patterns in patients with occlusive carotid artery disease (OCAD).

Methods

Forty-three patients (52 eyes) with documented OCAD of ≧70% underwent orbital color Doppler imaging. The eyes were first divided into four groups by peak systolic velocity in OA (PSVOA): group A, PSVOA ≦ 0; group B, 0 < PSVOA ≦ 10; group C, 10 < PSVOA ≦ 40; and group D, PSVOA > 40 cm/s, then further classified by the shape of the OA flow wave. The groups were then compared with respect to the collateral pathway (Co-Path), severity of the OCAD, and systemic diseases.

Results

Eyes with unidirectional reverse flow (group A1) had a Co-Path from the ipsilateral external carotid artery and 70%–100% OCAD. Eyes with bidirectional reverse flow (group A2) had no Co-Path, 75% OCAD, and impending ischemic heart disease (IHD). Group B eyes had dome-shaped OA flow waves with no Co-Path and 99%–88% OCAD. Group C1 eyes, with normal flow waves, had a Co-Path from the contralateral internal carotid artery and 100% OCAD. Group C2 eyes, with triangular-shaped flow waves, had no Co-Path, 93%–70% OCAD, and IHD. Group D eyes had normal high flow waves with no Co-Path, 75% OCAD, and hypertension.

Conclusions

The OA flow patterns were variously affected by collateral pathway, severity of OCAD, and systemic diseases. Jpn J Ophthalmol 2006;50:224–228 © Japanese Ophthalmological Society 2006

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. VP Costa S Kuzniec LJ Molnar GG Cerri P Puech-Leao CA Carvalho (1997) ArticleTitleClinical findings and hemodynamic changes associated with severe occlusive carotid artery disease Ophthalmology 104 1994–2002 Occurrence Handle9400757 Occurrence Handle1:STN:280:DyaK1c%2FmtF2huw%3D%3D

    PubMed  CAS  Google Scholar 

  2. AC Ho WE Lieb PM Flaharty et al. (1992) ArticleTitleColor Doppler imaging of the ocular ischemic syndrome Ophthalmology 99 1453–1462 Occurrence Handle1407979 Occurrence Handle1:STN:280:DyaK3s%2Fis1WrtA%3D%3D

    PubMed  CAS  Google Scholar 

  3. LA Mawn TR Hedges SuffixIII W Rand PA Heggerick (1997) ArticleTitleOrbital color Doppler imaging in carotid occlusive disease Arch Ophthalmol 115 492–496 Occurrence Handle9109758 Occurrence Handle1:STN:280:DyaK2s3mtlyrtA%3D%3D

    PubMed  CAS  Google Scholar 

  4. VP Costa S Kuzniec LJ Molnar et al. (1998) ArticleTitleCollateral blood supply through the ophthalmic artery Ophthalmology 105 689–693 Occurrence Handle9580236 Occurrence Handle1:STN:280:DyaK1c3gsVajsA%3D%3D Occurrence Handle10.1016/S0161-6420(98)94025-8

    Article  PubMed  CAS  Google Scholar 

  5. S Fujioka (2003) ArticleTitleUse of orbital color Doppler imaging for detecting internal carotid artery stenosis in patients with amaurosis fugax Jpn J Ophthalmol 47 276–280 Occurrence Handle12782164 Occurrence Handle10.1016/S0021-5155(03)00016-9

    Article  PubMed  Google Scholar 

  6. V Babikian CA Wijman B Koleini SN Malik N Goyal IC Matjucha (2001) ArticleTitleRetinal ischemia and embolism. Etiologies and outcomes based on a prospective study Cerebrovasc Dis 12 108–113 Occurrence Handle11490104 Occurrence Handle1:STN:280:DC%2BD3MvktlaltA%3D%3D Occurrence Handle10.1159/000047689

    Article  PubMed  CAS  Google Scholar 

  7. WE Lieb SM Cohen DA Merton JA Shields DG Mitchell BB Goldberg (1991) ArticleTitleColor Doppler imaging of the eye and orbit Arch Ophthalmol 109 527–531 Occurrence Handle2012555 Occurrence Handle1:STN:280:DyaK3M7ovF2rtA%3D%3D

    PubMed  CAS  Google Scholar 

  8. TH Williamson A Harris (1996) ArticleTitleColor Doppler ultrasound imaging of the eye and orbit Surv Ophthalmol 40 255–267 Occurrence Handle8658337 Occurrence Handle1:STN:280:DyaK283hsVKnuw%3D%3D Occurrence Handle10.1016/S0039-6257(96)82001-7

    Article  PubMed  CAS  Google Scholar 

  9. W Goebel WE Lieb A Ho et al. (1995) ArticleTitleColor Doppler imaging: a new technique to assess orbital blood flow in patients with diabetic retinopathy Invest Ophthalmol Vis Sci 36 864–870 Occurrence Handle7706034 Occurrence Handle1:STN:280:DyaK2M3itFWgtA%3D%3D

    PubMed  CAS  Google Scholar 

  10. S Fujioka K Karashima N Nishikawa Y Saito (2004) ArticleTitleOptic disk manifestation in diabetic eyes with low serum albumin Jpn J Ophthalmol 48 59–64 Occurrence Handle14767653 Occurrence Handle10.1007/s10384-003-0005-3

    Article  PubMed  Google Scholar 

  11. InstitutionalAuthorNameNorth American Symptomatic Carotid Endarterectomy Trial Collaborators (1991) ArticleTitleBeneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis N Engl J Med 325 445–453 Occurrence Handle10.1056/NEJM199108153250701

    Article  Google Scholar 

  12. MT Doxanas RL Anderson (1984) Vascular supply of the orbit Clinical orbital anatomy Williams & Wilkins Baltimore 153–160

    Google Scholar 

  13. S Fujioka K Karashima N Nishikawa (2002) ArticleTitleOcular findings and color Doppler images in diabetic patients with reverse ophthalmic artery and internal carotid artery stenosis/occlusion Nihon Ganka Kiyo (Folia Ophthalmol Jpn) 53 860–864

    Google Scholar 

  14. N Nishikawa (1991) ArticleTitleStudies on treatments for ocular syndrome following internal carotid artery-occlusive diseases Nihon Ganka Kiyo (Folia Ophthalmol Jpn) 42 1099–1105

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Ophthalmology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, Japan

    Sayuri Fujioka & Kaoruko Karashima

  2. Department of Neurosurgery, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, Japan

    Hidemitsu Nakagawa

  3. Department of Ophthalmology, Osaka National Hospital, Osaka, Japan

    Yoshihiro Saito

  4. Department of Ophthalmology, Osaka Police Hospital, Osaka, Japan

    Norikiyo Nishikawa

Authors
  1. Sayuri Fujioka
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Kaoruko Karashima
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Hidemitsu Nakagawa
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Yoshihiro Saito
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Norikiyo Nishikawa
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Sayuri Fujioka.

About this article

Cite this article

Fujioka, S., Karashima, K., Nakagawa, H. et al. Classification of Ophthalmic Artery Flow in Patients with Occlusive Carotid Artery Disease. Jpn J Ophthalmol 50, 224–228 (2006). https://doi.org/10.1007/s10384-005-0312-y

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10384-005-0312-y

Key words

Search

Navigation