TEK TARAFLI KAROTİS ARTER STENOZUNDA DİABETİK RETİNOPATİ

Polikliniğimize sağ gözünde az görme şikayeti ile başvuran, anamnezinde dört yıldır tanılı tip 2 diabetes mellitus (DM) olan 59 yaşındaki kadın hasta değerlendirildi. Oftalmolojik muayenede görme keskinliği (GK) Snellen eşeline göre sağ gözde 0,15, sol gözde 0,9, göz içi basıncı her iki gözde 16 mmHg olarak saptandı. Fundus muayenesinde sağ gözde optik disk başından vitre içine uzanan proliferatif fibrovasküler yapı ile birlikte dağınık intraretinal hemorajilerin olduğu izlendi. Sol gözün fundus muayenesinde sadece dağını intraretinal hemorajilerin gözlendi. Her iki gözün fundus fotoğrafı ve fundus flourescein anjiyografisi (FFA) çekildi. Fundus muayenesinde ve FFA’da iki göz arasında diyabetik retinopati (DRP) seviyeleri farklı olduğu için hasta kalp damar cerrahisi ile konsülte edildi. Karotis arter anjiyografisinde sağ internal karotis arterde ileri derecede stenoz saptandı. Bu olgu sunumunda asimetrik tutulumlu DRP’ye eşlik eden karotis arter stenozu olan bir olguyu sunmayı amaçladık

DIABETIC RETINOPATHY IN UNILATERAL CAROTID ARTERY STENOSIS

A 59-year-old female patient was admitted to our polyclinic with complaints of low vision in her right eye. She has type 2 diabetes mellitus for four years. Her vision acuity was 0.15 in the right eye and 0,9 in the left eye by Snellen chart. Intraocular pressure was 16 mmHg in both eyes. In the fundus examination of right eye, fibrovascular proliferation and intraretinal hemorrhage and in left eye intraretinal hemorrhages were seen. Fundus fluorescein angiography (FFA) was performed. FFA result was similar with fundus examination. The patient was hospitalized for cardiovascular surgery because that diabetic retinopathy severity was different between both eyes. In the carotid angiography examination, a stenosis detected in the right internal carotid artery. In this study, we aimed to present a case that has asymetric diabetic retinopathy with carotid artery stenosis.

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