Light-induced amaurosis fugax

American Journal of Ophthalmology
K KaiboriboonJ B Selhorst

Abstract

To describe an important symptom of bilateral amaurosis precipitated by exposure to bright light. Case report. Clinical analysis of transient, painless, asymmetrical visual loss occurring in bright light in a 54-year-old man. Carotid ultrasound showed bilateral carotid disease. Carotid angiography demonstrated occlusion of the left internal carotid artery and severe stenosis of the right internal carotid artery and both external carotid arteries. Visual symptoms and an abnormal photostress test completely remitted after a right carotid endarterectomy. Light-induced amaurosis is an unfamiliar manifestation of ocular ischemic syndrome occurring with severe, often bilateral, carotid artery disease. Its recognition is important because the complaint is associated with severe carotid occlusive disease and recognition is necessary for timely surgical intervention because of the major risk for stroke.

References

Mar 1, 1991·Stroke; a Journal of Cerebral Circulation·M GiroudF Becker
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Citations

May 13, 2014·Indian Journal of Ophthalmology·Anupriya ArthurSanjith Aaron
Dec 11, 2003·Current Treatment Options in Neurology·Carolyn Glazer-Hockstein, Nicholas J. Volpe
Dec 12, 2012·Survey of Ophthalmology·Axel PetzoldGordon T Plant
Oct 17, 2009·Survey of Ophthalmology·Efstratios MendrinosConstantin J Pournaras
Dec 7, 2007·Lancet·Stefan KiechlJohann Willeit
Oct 27, 2016·Seminars in Ophthalmology·Ivana VodopivecJoseph F Rizzo
Jul 9, 2009·International Ophthalmology Clinics·Matthew J Thurtell, Janet C Rucker
Sep 24, 2013·Neuro-ophthalmology·Jason ZhangAndrew G Lee
Nov 2, 2016·Movement Disorders Clinical Practice·Abel Wu, Navdeep Sangha

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