The manifestation of ocular ischemic syndrome in patients with atherosclerotic stenosis of the extracranial parts of carotid arteries

In the article the results of examination of the 97 patients with stenotic lesions of extracranial parts of carotid arteries, treated at the Department of Vascular Surgery № 2, Semashko Central Clinical Hospital № 2 of the JSC "Russian Railways” are presented. During this research all necessary laboratory and instrumental examinations and consultations of specialists (neurologist, ophthalmologist, internist) were conducted. This complex of examinations let us to reveal in 19.6% of patients different symptoms of acute and primary-chronic types of ocular ischemic syndrome (OIS). The frequency of ischemic neurological events in patients with different types of OIS was determined. Both types of ocular ischemic syndrome (both acute and primary chronic) predominate in patients with 3 or 4 degree of cerebrovascular insufficiency (presence of transient ischemic attack or acute cerebrovascular accident in anamnesis). The relative risk of acute ischemic attacks in patients with acute course of OIS is more than two times higher than in patients with primary chronic type of disease.