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Br J Ophthalmol doi:10.1136/bjo.2008.144832

Retrobulbar hemodynamics and carotid wall thickness in patients with nonarteritic anterior ischemic optic neuropathy.

  1. Mostafa S Sanjari,
  2. Khalil G Falavarjani (drghasemi{at}yahoo.com),
  3. Mehrnoosh Mehrabani,
  4. Leila Ghiasian,
  5. Babak Zamani
  1. Eye Research Center, Iran University of Medical Sciences, Iran, Islamic Republic of
  2. Eye Research Center, Iran University of Medical Sciences, Iran, Islamic Republic of
  3. Eye Research Center, Iran University of Medical Sciences, Iran, Islamic Republic of
  4. Eye Research Center, Iran University of Medical Sciences, Iran, Islamic Republic of
  5. Eye Research Center, Iran University of Medical Sciences, Iran, Islamic Republic of
    • Published Online First 19 December 2008

    Abstract

    Purpose: To compare retrobulbar hemodynamics and ipsilateral carotid wall thickness of patients with unilateral non-arteritic anterior ischemic optic neuropathy (NAION) with their contralateral side.

    Methods: Seventeen patients with unilateral NAION participated in this study. By means of Color Doppler imaging, the blood flow velocities of the ophthalmic artery were measured. Intima-media thickness (IMT) of common carotid and internal carotid arteries were measured using B-mode ultrasonography. Measurements of the affected side were compared with the non-involved side.

    Results: Flow velocities in the ophthalmic arteries on the side of the eyes with NAION were significantly decreased compared with those on the side of the unaffected eyes (P<0.001). In addition, in all patients, both common and internal carotid artery IMT were significantly greater on the side of the NAION compared with the contralateral side (P<0.001).

    Conclusion: NAION may be associated with decreased retrobulbar flow velocities and increased carotid wall thickness.

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