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Unilateral Glaucoma in Carotid Occlusive Disease

J. Lawton Smith, M.D.
JAMA. 1962;182(6):683-684. doi:10.1001/jama.1962.03050450083020b.
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THE OCCUBBENCE of secondary or hemorrhagic glaucoma following occlusion of the central retinal vein is universally recognized by ophthalmologists. That this syndrome may likewise follow occlusions of the central retinal artery has received much less emphasis. However, the latter phenomenon has been documented in a sufficient number of cases, so that no reasonable doubt of its occurrence now exists. That the fundus picture of central artery occlusion may occur in some cases of internal carotid thrombosis is also well known. In fact, the syndrome of the carotid artery (ipsilateral optic atrophy and contralateral hemiplegia ) was recognized anatomically many years before Fisher demonstrated that its functional equivalent (ipsilateral amaurosis fugax and contralateral liemiparesthesias or weakness) was clinically much more frequently encountered with carotid occlusive disease. The realization that hemorrhagic or secondary glaucoma could develop following ischmic arterial disease led to the detection of unrecognized carotid occlusions in the 2 patients


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