Andreas Ebneter, MD, PhD, FASRS » 20-Jun-2018

Jun 20 2018 by Andreas Ebneter, MD, PhD, FASRS

Ocular ischemic syndrome can present with a wide variety of ocular findings in both the anterior and posterior segments. The color fundus image of this 77-year-old male shows scattered blot hemorrhages in the deep retinal layers of the posterior pole that are only occasionally confluent. Commonly, these typical hemorrhages are predominantly found in the mid-periphery. Fluorescein angiography helps in confirming the diagnosis. Choroidal filling time is frequently somewhat delayed and patchy. Arteriovenous transit time is clearly prolonged. Staining of both veins and arteries in late images (top right) reflects diffuse endothelial cell damage with compromise of the blood-retina barrier. The peripheral retina is affected by extensive non-perfusion.

Photographer: Eva Steffen, Bern University Hospital, Switzerland

Imaging device: Optos 200Tx and Heidelberg Spectralis OCT

Condition/keywords: ocular ischemic syndrome