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Black as night.

Teri T Kleinberg1, Scott Uretsky2, Adam E Flanders3

  • 1Wills Eye Hospital, Philadelphia, PA, USA.

Survey of Ophthalmology
|October 15, 2014
PubMed
Summary
This summary is machine-generated.

A patient experienced sudden vision loss due to internal carotid artery occlusion and stroke. This case highlights the importance of investigating retinal vascular occlusive disease in stroke patients.

Keywords:
carotid dissectioninternal carotid arteryophthalmic artery occlusionstrokevision loss

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Area of Science:

  • Ophthalmology
  • Neurology
  • Vascular Medicine

Background:

  • Retinal vascular occlusive disease can be an early indicator of cerebrovascular events.
  • Asymptomatic stroke presents a diagnostic challenge, particularly when associated with visual symptoms.

Observation:

  • A 30-year-old male presented with acute, painless, and total loss of vision in the right eye.
  • Ophthalmic examination and imaging revealed findings consistent with total internal carotid artery occlusion.
  • The patient was diagnosed with a concurrent hemispheric stroke.

Findings:

  • The case demonstrates a direct link between internal carotid artery occlusion, hemispheric stroke, and sudden visual impairment.
  • Diagnostic imaging confirmed the vascular compromise affecting both the retina and the brain.

Implications:

  • Early recognition of retinal vascular occlusive disease is crucial for identifying patients at risk for stroke.
  • Prompt management strategies are essential for patients presenting with visual loss secondary to cerebrovascular events.
  • This case underscores the need for a multidisciplinary approach in managing patients with combined ophthalmic and neurological vascular conditions.