Bilateral visual loss in carotid artery disease.
Bilateral, simultaneous visual loss usually indicates vertebral-basilar insufficiency. We report the case of a patient who experienced transient, bilateral, simultaneous, asymmetrical visual loss. Arteriography revealed flow-restrictive lesions in both internal carotid arteries. The most likely cause for this symptom is bilateral ophthalmic artery hypoperfusion distal to high-grade stenotic lesions of the internal carotid arteries.
D000368:Aged; D002340:Carotid Artery Diseases / Q000150:complications*; D002343:Carotid Artery, Internal / Q000473:pathology; D005260:Female; D006801:Humans; D014786:Vision Disorders / Q000209:etiology*