Carotid endarterectomy for ophthalmic manifestations: is it ever indicated?
Four ophthalmic manifestations make up a substantial proportion of the indications for carotid endarterectomy (CE). They include transient monocular visual loss (TMVL), ocular ischemic syndrome (OIS), retinal artery occlusion (RAO), and asymptomatic Hollenhorst plaque. Critical review of the literature shows that the evidence to support the efficacy of CE in these four settings is tenuous.
Wolintz
Robyn J
RJ
Department of Neurology, Maimonides Medical Center, Brooklyn, New York 11219, USA. prweint@aol.com
D001766:Blindness / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D002343:Carotid Artery, Internal / Q000503:physiopathology / Q000601:surgery; D016893:Carotid Stenosis / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D017700:Embolism, Cholesterol / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D016894:Endarterectomy, Carotid; D005123:Eye / Q000098:blood supply*; D006801:Humans; D007511:Ischemia / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D015356:Retinal Artery Occlusion / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*