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September 1971

Ischemic Ocular Inflammation: A Clinicopathologic Case Report

Author Affiliations

From the Wilmer Ophthalmological Institute, and the Department of Pathology, Johns Hopkins University and Hospital, Baltimore.

Arch Ophthalmol. 1971;86(3):274-280. doi:10.1001/archopht.1971.01000010276007

RECOGNITION and understanding of various ocular responses to reduced blood supply is increasing because of greater interest in cervical vascular disease. In spite of this interest, histopathologic confirmation of clinically observed events is rare. It is the purpose of this report to describe a case in which the clinical aspects were defined from onset to death over four years later.

Report of a Case  A 69-year-old white man (JHH 101-53-67), was first seen at age 64 because of intermittent loss of vision of the right eye of four months duration, persistent poor vision for two months, and extreme right-sided head and eye ache of 24-hour duration. Vision was 15/200 right eye and 20/15 left eye. The right eye exhibited moderate diffuse injection of vessels, clear cornea, and an irregular pupil which reacted poorly directly and consensually (Fig 1, left). The left eye was normal. Slit-lamp examination of the right eye

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