CHRONIC OCULAR ISCHEMIA ASSOCIATED WITH THE EISENMENGERS-SYNDROME

We studied the ocular findings of two adult patients with the Eisenmen ger's syndrome who had atrial septal defects that were diagnosed befor e the age of 10 years but not operated on and pulmonary hypertension. Both eyes of these patients showed microaneurysms, multiple small blot hemorrhages, or capillary dilation in the temporal peripheral fundus. Multiple microaneurysms and retinal collaterals were confirmed by flu orescein angiography. One of the patients developed bilateral rubeosis iridis with slow progression. These retinal lesions and the rubeosis iridis are probably related to chronic ocular ischemia caused by chron ic systemic hypoxia.