Document Detail


Bright-light amaurosis fugax: an unusual symptom of retinal hypoperfusion corrected by external carotid revascularization.
MedLine Citation:
PMID:  3975858     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The eye often serves as an important monitor of carotid artery disease by manifesting visual disturbances before cerebral events. The most typical ocular symptom complex is amaurosis fugax characterized by loss of vision in one eye that occurs suddenly and clears within seconds to minutes. This symptom is a hallmark of carotid artery disease and is usually caused by an embolic event. Although monocular visual disturbance on a hemodynamic basis is a more unusual manifestation of carotid artery disease, significant stenosis in combination with a low-flow state can cause transient, unilateral telescoping of vision. This report describes another visual disturbance associated with carotid artery disease in which unilateral visual loss occurred upon exposure to bright light. We term this syndrome bright-light amaurosis fugax and document successful treatment by external carotid artery revascularization in two patients.
Authors:
R A Brigham; J R Youkey; G P Clagett; M A Walton; M A Lary; D F Fisher; G Wind
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Surgery     Volume:  97     ISSN:  0039-6060     ISO Abbreviation:  Surgery     Publication Date:  1985 Mar 
Date Detail:
Created Date:  1985-04-09     Completed Date:  1985-04-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0417347     Medline TA:  Surgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  363-8     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Arteriosclerosis / complications*,  radiography,  surgery
Blindness / etiology*
Carotid Artery, External / radiography,  surgery*
Endarterectomy
Follow-Up Studies
Humans
Light
Male
Middle Aged
Recurrence
Regional Blood Flow
Retina / blood supply*
Saphenous Vein / transplantation

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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