Retrobulbar haemodynamics and carotid wall thickness in patients with non-arteritic anterior ischaemic optic neuropathy

Br J Ophthalmol. 2009 May;93(5):638-40. doi: 10.1136/bjo.2008.144832. Epub 2008 Dec 19.

Abstract

Aim: To compare retrobulbar haemodynamics and ipsilateral carotid wall thickness of patients with unilateral non-arteritic anterior ischaemic optic neuropathy (NAION) with their contralateral side.

Methods: Seventeen patients with unilateral NAION participated in this study. By means of Colour Doppler imaging, the blood-flow velocities of the ophthalmic artery were measured. Intima-media thickness (IMT) of common carotid and internal carotid arteries were measured using B-mode ultrasonography. Measurements of the affected side were compared with the non-involved side.

Results: Flow velocities in the ophthalmic arteries on the side of the eyes with NAION were significantly decreased compared with those on the side of the unaffected eyes (p<0.001). In addition, in all patients, both common and internal carotid artery IMT were significantly greater on the side of the NAION compared with the contralateral side (p<0.001).

Conclusion: NAION may be associated with decreased retrobulbar flow velocities and increased carotid wall thickness.

MeSH terms

  • Aged
  • Blood Flow Velocity / physiology
  • Carotid Arteries / diagnostic imaging
  • Carotid Arteries / pathology*
  • Female
  • Hemodynamics / physiology
  • Humans
  • Male
  • Middle Aged
  • Ophthalmic Artery / physiopathology*
  • Optic Neuropathy, Ischemic / diagnostic imaging
  • Optic Neuropathy, Ischemic / pathology
  • Optic Neuropathy, Ischemic / physiopathology*
  • Prospective Studies
  • Tunica Intima / diagnostic imaging
  • Tunica Intima / pathology
  • Tunica Media / diagnostic imaging
  • Tunica Media / pathology
  • Ultrasonography, Doppler, Transcranial / methods