TY - JOUR
T1 - Postprandial transient visual loss
T2 - A symptom of critical carotid stenosis
AU - Levin, L. A.
AU - Mootha, Venkateswara
N1 - Funding Information:
Originally received: May 14, 1996. Revision accepted: November 11, 1996. From the Department of Ophthalmology and Visual Sciences, University of Wisconsin Medical School, Madison. Supported in part by an unrestricted departmental grant from Research to Prevent Blindness, Inc, New York, New York, and the Wisconsin Lions Club. Reprint requests to Leonard A. Levin, MD, PhD, Department of Ophthalmology and Visual Sciences, University of Wisconsin Medical School, 600 Highland Ave, Madison, WI 53792.
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.
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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
SN - 0161-6420
VL - 104
SP - 397
EP - 401
JO - Ophthalmology
JF - Ophthalmology
IS - 3
ER -