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NEUROLOGY 1979;29:108
© 1979 American Academy of Neurology

Binocular fundus reflectometry and ophthalmodynamometry in carotid occlusion

Rob B. Bakker, Eddo J. A. van Odijk and Jendo A. Oosterhuis

Department of Ophthalmology, Leiden University Medical Centre, The Netherlands.

Continuous bilateral simultaneous measurement of the circulation time between arm and ocular fundus and arm and earlobe was performed by fundus reflectometry (FRM). Differences in dye appearance time between the two ocular fundi were larger in cases of angiographically proved stenosis or occlusion of the common or the internal carotid artery. Prolonged dye appearance times in the earlobe were observed in occlusive disease of the common or external carotid artery. The harmless method of FRM seems to be useful in the detection of carotid occlusive disease and helpful in deciding whether carotid angiography should be performed.

Requests for reprints should be addressed to Prof. Dr. J. A. Oosterhuis, Oogheelkundige Kliniek, Academisch Ziekenhuis, Leiden, The Netherlands.

Accepted for publication June 15, 1979.