title: Black as night.
abstract: A 30-year-old man presented with painless total visual loss in the right eye. Fundus exam and imaging was consistent with total internal carotid artery occlusion and hemispheric stroke. The presentation and management options of retinal vascular occlusive disease in association with asymptomatic stroke are discussed.
authors.affiliation: Wills Eye Hospital, Philadelphia, PA, USA. Electronic address: terikleinberg@gmail.com.
authors.forename: Teri T
authors.initials: TT
authors.lastname: Kleinberg
authors.affiliation: Division of Neuro-Ophthalmology, Neurological Surgery P.C., Lake Success, NY, USA.
authors.forename: Scott
authors.initials: S
authors.lastname: Uretsky
authors.affiliation: Division of Neuroradiology, Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
authors.forename: Adam E
authors.initials: AE
authors.lastname: Flanders
authors.affiliation: Skull Base Division, Neuro-Ophthalmology Service, Wills Eye Hospital, Philadelphia, PA, USA.
authors.forename: Jurij R
authors.initials: JR
authors.lastname: Bilyk
authors.affiliation: Skull Base Division, Neuro-Ophthalmology Service, Wills Eye Hospital, Philadelphia, PA, USA.
authors.forename: Ann P
authors.initials: AP
authors.lastname: Murchison
mesh_terms: D000328:Adult; D001241:Aspirin / Q000627:therapeutic use; D001766:Blindness / Q000209:etiology*; D002343:Carotid Artery, Internal / Q000473:pathology*; D020215:Carotid Artery, Internal, Dissection / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D016893:Carotid Stenosis / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D064847:Multimodal Imaging; D009880:Ophthalmic Artery / Q000473:pathology*; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D020521:Stroke; D014057:Tomography, X-Ray Computed; D014792:Visual Acuity / Q000502:physiology
chemical_list: D010975:Platelet Aggregation Inhibitors; D001241:Aspirin
keywords: carotid dissection; internal carotid artery; ophthalmic artery occlusion; stroke; vision loss