Abstract
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.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 397-401 |
| Number of pages | 5 |
| Journal | Ophthalmology |
| Volume | 104 |
| Issue number | 3 |
| State | Published - 1997 |
Fingerprint
ASJC Scopus subject areas
- Ophthalmology
Cite this
Postprandial transient visual loss : A symptom of critical carotid stenosis. / Levin, L. A.; Mootha, Venkateswara.
In: Ophthalmology, Vol. 104, No. 3, 1997, p. 397-401.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Postprandial transient visual loss
T2 - A symptom of critical carotid stenosis
AU - Levin, L. A.
AU - Mootha, Venkateswara
PY - 1997
Y1 - 1997
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.
UR - http://www.scopus.com/inward/record.url?scp=0030943774&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0030943774&partnerID=8YFLogxK
M3 - Article
C2 - 9082262
AN - SCOPUS:0030943774
VL - 104
SP - 397
EP - 401
JO - Ophthalmology
JF - Ophthalmology
SN - 0161-6420
IS - 3
ER -