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- KATSUTA Toshiro
- Department of Neurosurgery, Kitakyushu Municipal Medical Center
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- FUJIMOTO Akiko
- Department of Ophthalmology, Kitakyushu Municipal Medical Center
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- OBA Kumiyo
- Department of Ophthalmology, Kitakyushu Municipal Medical Center
書誌事項
- タイトル別名
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- —Case Report—
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A 64-year-old man with a long history of untreated diabetes mellitus had suffered from visual disturbance in his right eye. Neovascular glaucoma in the right eye and diabetic retinopathy in both eyes were found, and ischemic ocular syndrome was suspected for the right eye. Neuroimaging revealed severe stenosis of the right internal carotid artery. He was first treated for diabetes and glaucoma, and then, after these conditions were stabilized, right carotid endarterectomy (CEA) was carried out. Although the operation was uneventful, he suffered from headache and his right sight was blurred on the day after surgery. Right intraocular pressure was markedly increased, and corneal edema and increased iris neovascularization were also recognized. Intensive ophthalmologic care was carried out, but his right vision worsened and was eventually lost. Ocular ischemia causes not only neovascularization of the iris, which leads to insufficient resorption of the aqueous humor, but also insufficient production of the aqueous humor. After CEA, production of the humor is immediately activated, but the resorption capacity does not change, which results in an extraordinary increase in intraocular pressure. Neurosurgeons should be aware that CEA not only improves or avoids worsening of vision in patients with ischemic oculopathy, but can also rarely cause paradoxical devastating visual deterioration.<br>
収録刊行物
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- Neurologia medico-chirurgica
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Neurologia medico-chirurgica 53 (6), 418-421, 2013
一般社団法人 日本脳神経外科学会
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詳細情報 詳細情報について
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- CRID
- 1390282680032113536
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- NII論文ID
- 10031173726
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- NII書誌ID
- AN00358613
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- COI
- 1:STN:280:DC%2BC3sjmtVeitA%3D%3D
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- ISSN
- 13498029
- 04708105
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- PubMed
- 23803621
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- 本文言語コード
- en
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- データソース種別
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- JaLC
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- PubMed
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- 使用不可