Cerebrovascular and Ocular Diseases: Collaboration Between a Neurologist and an Ophthalmologist

Time codes:
  • 00:01:29

    Carotid artery stenosis: a problem for neurologists and ophthalmologists

  • 00:11:51

    Collateral circulation: Circle of Willis and orbital anastomosis

  • 00:50:36

    Venous outflow from the eye into the cavernous sinus

  • 00:59:19

    Flammer syndrome: a disorder of retinal microcirculation

  • 01:01:59

    Unstable ocular blood flow is a marker of normal-tension glaucoma

Anatoly Ivanovich Fedin , MD, professor, head of the university's neurology clinic, honorary head of the department at Pirogov University, scientific director of the First Rehabilitation Clinic in Khamovniki, and honored physician of Russia

Natalia Ivanovna Kurysheva - Doctor of Medical Sciences, Professor, Head of the Department of Eye Diseases at the MBU INO, Professor of the Department of Ophthalmology at the APO FSBI FSBI FSCC FMBA of Russia, Head of the Clinical and Domestic Optometry Center of the FMBA of Russia, Member of the European Glaucoma Society and the American Academy of Ophthalmology

 

Announcement:

As part of the "Neurology Plus..." program, a dialogue between experts in two fields—neurology and ophthalmology—was held by Professors Anatoly Ivanovich Fedin and Natalia Ivanovna Kurysheva . This presentation focused on the relationship between brain and eye pathologies.

  • Why is the eye not only an organ of vision, but also a “window to the brain”?
  • How can cerebrovascular damage manifest itself in visual impairment, orientation problems, and risk of falls?
  • Why is normal tension glaucoma not only an ophthalmological but also a neurological problem?
  • Flammer syndrome: how does impaired microcirculation in the eye reflect systemic vascular disorders?
  • OCT angiography is a breakthrough in visualizing the microcirculation of the retina and choroid;
  • Nitric oxide and endothelin-1 are key regulators of vascular tone that are impaired in glaucoma.

The video explains the anatomical and physiological connections in detail:

  • Common blood supply: internal carotid artery → ophthalmic artery → retina and optic nerve;
  • Collateral circulation: orbital anastomosis, The circle of Willis (COW);
  • Venous outflow: central retinal vein → cavernous sinus → venous system of the brain.

Common pathogenetic mechanisms: oxidative stress, impaired blood flow autoregulation, ischemia and neurodegeneration.

Key takeaway: An interdisciplinary approach is key to early diagnosis and prevention of disability!

Watch the report to:

  • Find out how the eye reflects the state of the brain's blood vessels;
  • Learn to recognize “red flags” during inspection;
  • Understand why collaboration between a neurologist and an ophthalmologist is not an option, but a necessity.

A must-see for neurologists, ophthalmologists, internists and general practitioners.

THE INFORMATION IS INTENDED FOR HEALTHCARE AND PHARMACEUTICAL PROFESSIONALS. THIS INFORMATION IS NOT INTENDED AS A SUBSTITUTE FOR MEDICAL ADVICE.

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