Recovery of vision following treatment of the ocular ischemic syndrome.

A case of the ocular ischemic syndrome secondary to carotid artery occlusive disease responded to comprehensive treatment. The mode of presentation of the ocular ischemic syndrome is reviewed and the differential diagnosis discussed. Fluorescein angiography and electroretinography are shown to be useful adjuncts in the diagnosis and in assessing treatment. Emphasis is placed on early aggressive ocular therapy aimed at lowering intraocular pressure, maintaining an open anterior chamber angle, and reducing the ischemic drive for iris neovascularization in combination with carotid artery bypass surgery. The potential for success with this comprehensive approach is illustrated.