Distinctive vascular changes in the retina and choroid linked to retrograde flow in the ophthalmic artery due to chronic total occlusion of the carotid artery - Takeaways - MDSpire
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Distinctive vascular changes in the retina and choroid linked to retrograde flow in the ophthalmic artery due to chronic total occlusion of the carotid artery

  • By

  • Ling Feng

  • Xiaofeng Tan

  • Le Cao

  • Hang Wang

  • Yueyue He

  • William Robert Kwapong

  • Hong Chen

  • Bo Wu

  • April 20, 2026

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  • 1

    Chronic total occlusion of the internal carotid artery relies on collateral circulation, particularly retrograde flow in the ophthalmic artery.

  • 2

    Retinal vessel length density is significantly lower in eyes with chronic total occlusion compared to those with severe carotid artery stenosis and controls.

  • 3

    Choroidal vascular parameters remain relatively preserved in chronic total occlusion eyes compared to those with severe carotid artery stenosis.

  • 4

    Retrograde ophthalmic artery flow is associated with lower retinal vessel length density but higher choroidal vascular volume and index.

  • 5

    The study highlights distinct vascular changes in the retina and choroid due to hemodynamic alterations from carotid artery occlusion.

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