Asymmetric proliferative diabetic retinopathy and carotid artery disease.
Publication/Presentation Date
7-1-1990
Abstract
The authors prospectively evaluated 387 consecutive patients with proliferative diabetic retinopathy (PDR) for asymmetry in posterior segment neovascularization and its relationship to carotid artery disease. For the purpose of this study, asymmetry is defined as the presence of PDR with high-risk characteristics (as per the Diabetic Retinopathy Study) in one eye, with neither proliferative nor preproliferative changes in the opposite eye. Over the 2-year time period of the study, 20 (5.2%) of 387 patients manifested asymmetric PDR by this definition. All 20 patients underwent carotid artery noninvasive testing and 4 (20%) were found to have hemodynamically significant carotid artery disease. Two of the four patients had their proliferative retinopathy ipsilateral to their severe carotid artery stenosis. This finding does not support the hypothesis that a hemodynamically significant carotid artery stenosis protects against the development of PDR.
Volume
97
Issue
7
First Page
869
Last Page
874
ISSN
0161-6420
Published In/Presented At
Duker, J. S., Brown, G. C., Bosley, T. M., Colt, C. A., & Reber, R. (1990). Asymmetric proliferative diabetic retinopathy and carotid artery disease. Ophthalmology, 97(7), 869–874. https://doi.org/10.1016/s0161-6420(90)32488-0
Disciplines
Medicine and Health Sciences
PubMedID
2381700
Department(s)
Department of Medicine
Document Type
Article