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Updated: May 21, 2026

An In Vivo Assessment of Blood-Brain Barrier Disruption in a Rat Model of Ischemic Stroke
Published on: March 11, 2018
Sudden loss of vision in a patient with significant ipsilateral internal carotid disease
Farhad Huwez1, Udayaraj Umasankar, Edward Casswell
1Medicine for Older People, Basildon & Thurrock Hospitals NHS Foundation Trust, Basildon, UK. farhad.huwez@hotmail.com
Abstract:
A 74-year-old man developed sudden onset of painless persistent partial loss of vision in the right eye 3 days after right total knee replacement. The initial investigation was for amaurosis fugax with a normal CT scan of the brain but the carotid Doppler confirmed >90% stenosis of the right internal carotid artery. Urgent ophthalmological review confirmed anterior ischaemic optic neuropathy. Subsequently, he lost his vision completely in the right eye. He had a previous high risk hemispheric transient ischaemic attack with carotid Doppler reported as normal.
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