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OPHTHALMOLOGY PRACTICE
Year : 2014  |  Volume : 62  |  Issue : 4  |  Page : 472-476

Ophthalmic masquerades of the atherosclerotic carotids


1 Department of Ophthalmology, Christian Medical College & Hospital, Vellore, Tamil Nadu, India
2 Department of Clinical Neuro sciences, Calgary Stroke Program, Foothills Medical Centre, University of Calgary, Canada
3 Department of Neurological Sciences, Neurology Unit, Christian Medical College & Hospital, Vellore, Tamil Nadu, India

Correspondence Address:
Sanjith Aaron
Department of Neurological Sciences, Neurology Unit, Christian Medical College & Hospital, Vellore, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.121183

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Patients with carotid atherosclerosis can present with ophthalmic symptoms. These symptoms and signs can be due to retinal emboli, hypoperfusion of the retina and choroid, opening up of collateral channels, or chronic hypoperfusion of the globe (ocular ischemic syndrome). These pathological mechanisms can produce many interesting signs and a careful history can bring out important past symptoms pointing toward the carotid as the source of the patient's presenting symptom. Such patients are at high risk for an ischemic stroke, especially in the subsequent few days following their first acute symptom. It is important for clinicians to be familiar with these ophthalmic symptoms and signs caused by carotid atherosclerosis for making an early diagnosis and to take appropriate measures to prevent a stroke. This review elaborates the clinical features, importance, and implications of various ophthalmic symptoms and signs resulting from atherosclerotic carotid artery disease.


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