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Vol 29, No 1 (2023)
Review paper
Published online: 2023-03-24

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Influence of endarterectomy on the structure and function of the retina and optic nerve

Aleksandra Krasińska-Płachta1, Agata Brązert1, Joanna Mamczur-Załęcka1, Marcin Gabriel2, Beata Begier-Krasińska3, Jarosław Kocięcki1
Acta Angiologica 2023;29(1):15-18.

Abstract

Carotid arteries are the main blood vessels supplying the brain, neck, and face as well as ophthalmic arteries. Internal carotid arteriosclerosis is strictly associated with ophthalmic symptoms caused by damage to the optic nerve. This condition can manifest as an ocular ischemic syndrome or anterior ischemic optic neuropathy. One of the surgical procedures that treat carotid arteriosclerosis is an endarterectomy. It has been proved that this surgical procedure can additionally reduce intraocular pressure and improve visual acuity, best corrected visual acuity (BCVA), visual field, a bioelectrical function of the optic nerve and retina, and perfusion of the optic nerve head. It has been also observed that the procedure does not affect retinal nerve fiber layer thickness and ganglion cell layer. The aim of this review was, to sum up information on the influence of endarterectomy on the function of the optic nerve based on the up-to-date internet database.

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References

  1. Sethi D, Gofur EM, Munakomi S. Anatomy, Head and Neck, Carotid Arteries. StatPearls [Internet]. 2022 Jul 25 [cited 2022 Oct 25]; Available from: https://www.ncbi.nlm.nih.gov/books/NBK545238/.
  2. Neroev VV, Kiseleva TN, Vlasov SK, et al. Visual outcomes after carotid reconstructive surgery for ocular ischemia. Eye (Lond). 2012; 26(10): 1281–1287.
  3. Peeler C, Cestari DM. Non-Arteritic Anterior Ischemic Optic Neuropathy (NAION): A Review and Update on Animal Models. Semin Ophthalmol. 2016; 31(1-2): 99–106.
  4. Mendrinos E, Machinis TG, Pournaras CJ. Ocular ischemic syndrome. Surv Ophthalmol. 2010; 55(1): 2–34.
  5. Arthur A, Alexander A, Bal S, et al. Ophthalmic masquerades of the atherosclerotic carotids. Indian J Ophthalmol. 2014; 62(4): 472–476.
  6. Mendez MV, Wijman CA, Matjucha IC, et al. Carotid endarterectomy in a patient with anterior ischemic neuropathy. J Vasc Surg. 1998; 28(6): 1107–1111.
  7. Anbar R, Chaturvedi N, Eastwood S, et al. Carotid atherosclerosis in people of European, South Asian and African Caribbean ethnicity in the Southall and Brent Revisited study (SABRE). .
  8. Song P, Fang Z, Wang H, et al. Global and regional prevalence, burden, and risk factors for carotid atherosclerosis: a systematic review, meta-analysis, and modelling study. Lancet Glob Health. 2020; 8(5): e721–e729.
  9. Yan J, Yang X, Wu J, et al. Visual Outcome of Carotid Endarterectomy in Patients with Carotid Artery Stenosis. Ann Vasc Surg. 2019; 58: 347–356.
  10. Vitale Brovarone F, Fea A, Gastaldi C, et al. Ocular functionality variations after endarterectomy. Acta Ophthalmol Scand Suppl. 1998(227): 47–48.
  11. Guclu O, Guclu H, Huseyin S, et al. Retinal ganglion cell complex and peripapillary retinal nerve fiber layer thicknesses following carotid endarterectomy. Int Ophthalmol. 2019; 39(7): 1523–1531.
  12. Konstantiniuk P, Steinbrugger I, Koter S, et al. Impact of internal carotid endarterectomy on visual fields: a non-randomised prospective cohort study in Austria. BMJ Open. 2017; 7(10): e017027.
  13. Clouse WD, Hagino RT, Chiou A, et al. Extracranial cerebrovascular revascularization for chronic ocular ischemia. Ann Vasc Surg. 2002; 16(1): 1–5.
  14. Costa VP, Kuzniec S, Molnar LJ, et al. The effects of carotid endarterectomy on the retrobulbar circulation of patients with severe occlusive carotid artery disease. An investigation by color Doppler imaging. Ophthalmology. 1999; 106(2): 306–310.
  15. Marx JL, Hreib K, Choi InS, et al. Percutaneous carotid artery angioplasty and stenting for ocular ischemic syndrome. Ophthalmology. 2004; 111(12): 2284–2291.
  16. Qu L, Feng J, Zou S, et al. Improved visual, acoustic, and neurocognitive functions after carotid endarterectomy in patients with minor stroke from severe carotid stenosis. J Vasc Surg. 2015; 62(3): 635–44.e2.
  17. Kozobolis VP, Detorakis ET, Georgiadis GS, et al. Perimetric and retrobulbar blood flow changes following carotid endarterectomy. Graefes Arch Clin Exp Ophthalmol. 2007; 245(11): 1639–1645.
  18. Lahme L, Marchiori E, Panuccio G, et al. Changes in retinal flow density measured by optical coherence tomography angiography in patients with carotid artery stenosis after carotid endarterectomy. Sci Rep. 2018; 8(1): 17161.
  19. Pierro L, Arrigo A, De Crescenzo M, et al. Quantitative Optical Coherence Tomography Angiography Detects Retinal Perfusion Changes in Carotid Artery Stenosis. Front Neurosci. 2021; 15: 640666.
  20. Hwang JC, Konduru R, Zhang X, et al. Relationship among visual field, blood flow, and neural structure measurements in glaucoma. Invest Ophthalmol Vis Sci. 2012; 53(6): 3020–3026.