Ocular ischemic syndrome with bilateral carotid artery stenosis in a patient with chronic tophaceous gout

• Main Authors: Mohammad Razali, Amirah, Mohamed Shafit, Muhammad Adri, Md Saleh, Rafidah, Mohmood, Adzleen, Mohd Isa, Mujammad
• Format: Article
• Published: Springer Science and Business Media LLC 2023
• Online Access: http://psasir.upm.edu.my/id/eprint/110094/; https://www.cureus.com/articles/206365-ocular-ischemic-syndrome-with-bilateral-carotid-artery-stenosis-in-a-patient-with-chronic-tophaceous-gout

Ocular ischaemic syndrome is a rare, blinding condition which usually presents rather late. This occurs mainly due to stenosis or occlusion of the carotid artery which supplies the ocular structures. Bilateral involvement may occur in 1 in 5 cases but may be asymmetrical. We report a case of bilateral ocular ischaemic syndrome secondary to left common carotid artery total occlusion and severe right proximal internal carotid artery stenosis in a patient who is an active smoker with chronic tophaceous gout. His vision remained stable after a year of follow-up, with the main emphasis of optimizing his medical condition and smoking cessation.