A 65-year-old woman who had undergone internal carotid artery stenting and was being maintained on antiplatelet therapy developed features suggesting ipsilateral reduced retinal artery perfusion. Injection of urokinase into the ophthalmic artery provided temporary improvement. When manifestations of retinal arterial ischemia recurred, angiography revealed worsening stenosis at the origin of the ophthalmic artery. Balloon angioplasty at that site successfully restored visual acuity and reversed the ischemic fundus abnormalities. This is the first report of ophthalmic artery balloon angioplasty in this setting.
Departments of Neurosurgery (GJH, O-KK); Ophthalmology (SJW, J-MH, KHP); and Radiology (C-KJ), Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
Address correspondence to Se Joon Woo, MD, Seoul National University Bundang Hospital. 300 Gumi-dong, Bundang-gu, Seongnam, Gyunggi-do 463-707, Korea; E-mail: firstname.lastname@example.org