Glaucoma in a patient with subclavian steal syndrome

✍ Scribed by Charles Haskes

• Publisher: Elsevier Science
• Year: 1997
• Tongue: English
• Weight: 686 KB
• Volume: 9
• Category: Article
• ISSN: 0953-4431
• DOI: 10.1016/s0953-4431(97)10001-7

✦ Synopsis

Vascular disease may be an underlying factor in certain patients with normal tension glaucoma. Normal tension glaucoma patients with specific vascular and neurological symptoms, in correlation with results of clinical tests (i.e. intraocular pressure, ophthalmodynamometry, blood pressure), will benefit from a further work-up for systemic vascular disease. Subclavian steal syndrome is one such vascular disease which can produce symptoms and clinical signs which alert the clinician to evaluate the patient further. Subclavian steal syndrome can potentially decrease perfusion to the optic nerve head. making it more susceptible to glaucomatous cupping in the presence of normal intraocular pressures. The following cast report illustrates a patient who developed subclavian steal syndrome and contralateral optic nerve head hypoperfusion. C IW? Elsevier Science Ireland Ltd.