Associations of retinal microvascular signs and intracranial large artery disease.
Journal Article (Journal Article;Multicenter Study)
BACKGROUND AND PURPOSE: Intracranial large artery disease (ICLAD) is a major cause of ischemic stroke. Retinal microvascular changes are associated with stroke, including small vessel cerebral disease and extracranial carotid disease. We examined the relationship between ICLAD and retinal microvascular changes. METHODS: This is a prospective cohort of 802 acute ischemic stroke patients. Retinal changes were assessed from photographs by graders masked to clinical data. ICLAD was evaluated using prespecified criteria. RESULTS: ICLAD was not associated with ipsilateral retinal arteriolar/venular caliber, focal arteriolar narrowing, or arteriovenous nicking. Severe enhanced arteriolar light reflex was independently associated with any ICLAD (P=0.006) and severe ICLAD (P<0.001). CONCLUSIONS: Enhanced arteriolar light reflex, but not retinal vessel caliber, was related to ICLAD. These data suggest that retinal microvascular signs have specific associations with large cerebral vessel disease.
Full Text
Duke Authors
Cited Authors
- De Silva, DA; Manzano, JJF; Woon, F-P; Liu, EY; Lee, M-P; Gan, H-Y; Chen, CPLH; Chang, H-M; Mitchell, P; Wang, JJ; Lindley, RI; Wong, T-Y; Wong, M-C
Published Date
- March 2011
Published In
Volume / Issue
- 42 / 3
Start / End Page
- 812 - 814
PubMed ID
- 21257821
Electronic International Standard Serial Number (EISSN)
- 1524-4628
Digital Object Identifier (DOI)
- 10.1161/STROKEAHA.110.589960
Language
- eng
Conference Location
- United States