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Abstract • A man complaining of blurred vision had diffuse retinal capillary telangiectasia as a primary retinal finding. Evaluation of the carotid arteries by a noninvasive angiographic method revealed bilateral, silent occlusions of both common carotid arteries. Thus, some cases of "idiopathic retinal capillary telangiectasia" may in fact be harbingers of underlying carotid artery disease. References 1. Gass JDM: A fluorescein angiographic study of macular dysfunction secondary to retinal vascular disease: VI. X-ray irradiation, carotid artery occlusion, collagen vascular disease and vitritis . Arch Ophthalmol 1968;80:606-617.Crossref 2. Hutton WL, Snyder WB, Fuller D, et al: Focal parafoveal retinal telangiectasia . Arch Ophthalmol 1978;96:1361-1367.Crossref 3. Chopdar A: Retinal telangiectasia in adults: Fluorescein angiographic findings and treatment by argon laser . Br J Ophthalmol 1978;62:243-250.Crossref 4. Yanuzzi LA, Gitter KA, Schatz H: The Macula: A Comprehensive Text and Atlas . Baltimore, Williams & Wilkins Co, 1974, pp 118-126. 5. Gass JDM, Oyakawa RT: Idiopathic juxtafoveolar retinal telangiectasia . Arch Ophthalmol 1982;100:769-780.Crossref 6. Modic MT, Weinstein MA, Chilcote WA, et al: Digital subtraction angiography of the intracranial vascular system: A comparative study in 55 patients . AJNR 1981;2:527-534. 7. Hedges TR: Ophthalmoscopic findings in internal carotid artery occlusion . Johns Hopkins Med J 1962;111:89-97. 8. Kearns TP, Hollenhorst RW: Venous stasis retinopathy of occlusive disease of the carotid artery . Mayo Clin Proc 1963;38:304-312. 9. Schatz H, Burton TC, Yanuzzi OA, et al: Interpretation of Fundus Fluorescein Angiography . St Louis, CV Mosby Co, 1978, pp 194-195. 10. Green WR, Quigley HA, DeLaCruz Z, et al: Parafoveal retinal telangiectasia: Light and electron microscopic studies . Trans Ophthalmol Soc UK 1980;100:162-170. 11. Ashton N: Vascular basement changes in diabetic retinopathy: Montgomery Lecture, 1973 . Br J Ophthalmol 1974;58:344-366.Crossref 12. Horn G, Rabb MF, Lewicky AO: Retinal telangiectasis of the macula: A review and differential diagnosis . Int Ophthalmol Clin 1981;21:139-155.Crossref 13. Ehlers N, Jensen VA: Hereditary central retinal angiopathy . Acta Ophthalmol 1973;51:171-178.Crossref 14. Chilcote WA, Modic MT, Pavlicek WA, et al: Digital subtraction angiography of the carotid arteries: A comparative study in 100 patients . Radiology 1981;139:287-295.Crossref 15. Tomsak RL, Modic MT, Weinstein MA: Intravenous digital subtraction angiography in neuro-ophthalmology . J Clin Neuroophthalmol 1982;2:23-26.
Archives of Ophthalmology – American Medical Association
Published: Aug 1, 1983
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