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August 1961

Ophthalmodynamometry in the Surgical Management of Carotid Arterial Disease

Author Affiliations

New Orleans
From the Departments of Ophthalmology, Ochsner Clinic and Ochsner Foundation Hospital, and Tulane University School of Medicine, New Orleans.

Arch Ophthalmol. 1961;66(2):201-210. doi:10.1001/archopht.1961.00960010203009

The surge of interest in ophthalmodynamometry during the past 5 years is due to 2 facts, the most evident of which is the increasing incidence of strokes because of the increased life span. Equally important, however, are the advances in the treatment of cerebrovascular accidents. To initiate definitive treatment, the vessel involved must be determined. It is in this sphere of diagnosis,1-4 as well as the objective evaluation of the success of treatment, that the ophthalmologist can fill a most important role.

This study was undertaken to test the validity of ophthalmodynamometry in evaluating carotid endarterectomy, carotid ligations, cervical sympathetic block, and superior cervical ganglionectomy. It includes 53 patients on whom bilateral carotid arteriography was done at the Ochsner Clinic and Ochsner Foundation Hospital during the past 2½ years. Only patients who had bilateral arteriography were included, in order that the ophthalmodynamometry readings could be compared with the true

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