Undertreatment of Vascular Risk Factors in Patients with Monocular Ischaemic Visual Loss

Cerebrovascular Diseases
Angeliki ZarkaliArvind Chandratheva

Abstract

Ischaemic visual loss is often considered a lower risk factor than other transient ischaemic attacks (TIA). We aimed to determine the recurrence risk, prevalence and management of vascular risk factors in these patients. The study took place in the University College Hospital London daily TIA clinic, main referral centre for North-Central London and Moorfields Eye Hospital. Consecutive records for patients with transient (< 24 h) or permanent (> 24 h) ischaemic visual loss were reviewed during the period January 2014-October 2016. Patients diagnosed with temporal arteritis were excluded. Of 400 patients, 224 (56%) were male with mean age 64.5 years (SD 15.1); 263 patients (65.8%) presented with transient and 137 patients (34.2%) with permanent ischaemic visual loss; 51.3% had hypertension (HTN), 35.3% hypercholesterolaemia, 14.5% diabetes, 11.8% ischaemic ocular events, 10.0% ischaemic heart disease, 7.3% atrial fibrillation (AF), 6.3% TIA, 5.3% stroke, and 12.3% were smokers. Median vascular risk factors were 2 (range 1-6), but 122 (30.5%) had ≥3. Those with diabetes (p < 0.001), HTN (p = 0.008), previous myocardial infarction (p = 0.005), or ≥3 vascular risk factors (p = 0.012) were more likely to present with permanent visua...Continue Reading

References

May 2, 1998·JAMA : the Journal of the American Medical Association·A M PancioliE Jauch
Jul 19, 2001·Journal of Neurology, Neurosurgery, and Psychiatry·R C Donders, UNKNOWN Dutch TMB Study Group
Oct 13, 2001·The New England Journal of Medicine·O BenaventeUNKNOWN North American Symptomatic Carotid Endarterectomy Trial Collaborators
May 7, 2002·BMJ : British Medical Journal·Sung Sug Yoon, Julie Byles
Dec 24, 2005·Stroke; a Journal of Cerebral Circulation·Hung-Yi HsuHan-Hwa Hu
Feb 28, 2006·Journal of Neurology, Neurosurgery, and Psychiatry·E L L M De SchryverL J Kappelle
Oct 12, 2007·Lancet·Peter M RothwellUNKNOWN Early use of Existing Preventive Strategies for Stroke (EXPRESS) study
Oct 27, 2007·Stroke; a Journal of Cerebral Circulation·Francisco PurroyJosé Alvarez-Sabín
May 31, 2011·Progress in Retinal and Eye Research·Sohan Singh Hayreh
Jan 9, 2016·Stroke; a Journal of Cerebral Circulation·Tyler Hyungtaek RimSung Soo Kim
Nov 30, 2016·Clinical Ophthalmology·Pia KvickströmMadeleine Zetterberg
Jan 26, 2018·Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society·Lucy Y ZhangHardik Amin

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Citations

Dec 15, 2020·Lancet·Ingrid U ScottValérie Biousse

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