Decreased Ocular Perfusion Pressure Associated With Reverse Ophthalmic Artery Flow on Transcranial Doppler Ultrasonography
Author Type(s)
Student
Document Type
Article
Publication Date
5-20-2024
DOI
10.7759/cureus.60706
Journal Title
Cureus
Keywords
cerebrovascular occlusive disease; mean central retinal artery pressure; ocular perfusion pressure; ophthalmodynamometry; reverse ophthalmic artery flow; transcranial doppler ultrasonography
Abstract
Innovative applications of clinical ocular diagnostic tools are emerging to help identify systemic disorders that extend beyond ocular diseases. Ophthalmodynamometry (ODM) is a screening tool that non-invasively determines mean central retinal artery pressure (MCRAP) and ocular perfusion pressure (OPP). Decreased OPP and MCRAP on Falck Medical Multifunctional Device (FMD, Falck Medical, Inc., Mystic, CT), along with reverse ophthalmic artery flow (ROAF) on transcranial Doppler ultrasonography (TCD), indicate increased collateral brain perfusion and possible stenosis of the ophthalmic artery or internal carotid artery (ICA). In this case report, we describe the case of a 78-year-old female with ROAF, reduced MCRAP, and OPP in the right eye, confirmed by carotid duplex of 50-79% right ICA stenosis. Early application of ODM and TCD allowed for prompt diagnosis and management with a vascular specialist.
Recommended Citation
Murillo, B. A., Cheng, A. M., Tsai, J., & Gupta, S. K. (2024). Decreased Ocular Perfusion Pressure Associated With Reverse Ophthalmic Artery Flow on Transcranial Doppler Ultrasonography. Cureus, 16 (5), 60706-60706. https://doi.org/10.7759/cureus.60706
