TY - JOUR
T1 - Postprandial transient visual loss
T2 - A symptom of critical carotid stenosis
AU - Levin, L. A.
AU - Mootha, Venkateswara
PY - 1997/1/1
Y1 - 1997/1/1
N2 - Purpose: The authors report the association of transient visual loss after eating meals with severe carotid occlusive disease1 and propose a hypothesis for its pathophysiology. Methods: Description of clinical history and examination, radiologic and other studies in two patients with postprandial transient visual loss, and review of the literature for three related cases. Results: Two women, 59 and 65 years of age, presented with splotchy visual loss lasting up to more than 1 hour in the left and both eyes, respectively. In both patients, the visual loss was precipitated by eating a meal. Radiologic investigations revealed 90% stenosis of the left internal carotid artery in the first patient and occlusion of the right internal carotid artery and 40% to 70% stenosis of the left internal carotid artery in the second patient. Conclusions: Visual loss after eating a meal may result from hypoperfusion of the retinal and choroidal circulations and is suggestive of severe carotid occlusive disease.
AB - Purpose: The authors report the association of transient visual loss after eating meals with severe carotid occlusive disease1 and propose a hypothesis for its pathophysiology. Methods: Description of clinical history and examination, radiologic and other studies in two patients with postprandial transient visual loss, and review of the literature for three related cases. Results: Two women, 59 and 65 years of age, presented with splotchy visual loss lasting up to more than 1 hour in the left and both eyes, respectively. In both patients, the visual loss was precipitated by eating a meal. Radiologic investigations revealed 90% stenosis of the left internal carotid artery in the first patient and occlusion of the right internal carotid artery and 40% to 70% stenosis of the left internal carotid artery in the second patient. Conclusions: Visual loss after eating a meal may result from hypoperfusion of the retinal and choroidal circulations and is suggestive of severe carotid occlusive disease.
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U2 - 10.1016/S0161-6420(97)30302-9
DO - 10.1016/S0161-6420(97)30302-9
M3 - Article
C2 - 9082262
AN - SCOPUS:0030943774
VL - 104
SP - 397
EP - 401
JO - Ophthalmology
JF - Ophthalmology
SN - 0161-6420
IS - 3
ER -