Carotid endarterectomy in a patient with anterior ischemic neuropathy

Mendez, Martha; Wijman, Christine A.C.; Matjucha, Ippolit C. A.; Menzoı́an, James O.

doi:10.1016/s0741-5214(98)70038-2

Cited by 11 publications

(5 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Two of the patients experienced TIA in temporal proximity to the onset of AION and were found by means of an arteriogram to have hypoperfusion of the distal optic nerve head. Mendez et al 21 reported a case of anterior ischaemic optic neuropathy associated with 90% stenosis of the ipsilateral internal carotid artery and diminished blood flow through the ophthalmic artery. After CEA, the patient showed subjective and measurable improvement in vision and increased ophthalmic artery flows.…”

Section: Discussionmentioning

confidence: 99%

Retrobulbar haemodynamics and carotid wall thickness in patients with non-arteritic anterior ischaemic optic neuropathy

Sanjari

Falavarjani

Mehrabani

et al. 2008

British Journal of Ophthalmology

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Retrobulbar haemodynamics and carotid wall thickness in patients with non-arteritic anterior ischaemic optic neuropathy

Sanjari

Falavarjani

Mehrabani

et al. 2008

British Journal of Ophthalmology

View full text Add to dashboard Cite

show abstract

“…Additionally, some studies have revealed that visual function did indeed improve after CEA in patients with ocular ischemic syndrome or anterior ischemic optic neuropathy. 6,13,14 However, it is unclear how visual function changes, particularly quantitative changes, after CEA in those who have no preoperative ocular chief complaint, such as amaurosis fugax, ocular pain, severe visual impairment, or blindness.…”

Section: Introductionmentioning

confidence: 99%

Visual Outcome of Carotid Endarterectomy in Patients with Carotid Artery Stenosis

Yan

Yang

et al. 2019

Annals of Vascular Surgery

View full text Add to dashboard Cite

Background: Carotid endarterectomy (CEA) is deemed to restore the blood flow of the carotid and ophthalmic arteries in patients with carotid artery stenosis. However, specific changes in visual function before and after CEA are not well understood; hence, this observational study aimed to investigate the functional and structural changes in vision after CEA in those patients. Methods: Patients with severe carotid artery stenosis (>70% with standard carotid duplex scanning or arteriography) scheduled to undergo CEA were consecutively recruited for the study between September 2015 and July 2016. All patients underwent a standardized ophthalmic examination, including intraocular pressure (IOP) measurement, slit-lamp examination, and fundus examination. Visual acuity, best corrected visual acuity (BCVA), and kinetic and static visual fields (VFs) were tested to evaluate subjective visual function. Flash and pattern visual evoked potentials (VEPs) and an electroretinogram (ERG) were measured for objective visual function. Retinal nerve fiber layer (RNFL) thickness was scanned using optical coherence tomography for structural evaluation. Results: The study involved 15 patients (11 male and 4 female, corresponding to 30 eyes; mean age 62.8 ± 5.0 years). After CEA, both uncorrected visual acuity and BCVA improved, and IOP significantly decreased from 17.41 ± 2.59 to 15.95 ± 2.50 mm Hg (P ¼ 0.0022). Kinetic VF range increased significantly (P ¼ 0.0126) as did mean sensitivity from 18.8 ± 5.5 to 20.6 ± 4.3 dB (P ¼ 0.0208), whereas mean defect decreased from 8.2 ± 5.3 to 6.5 ± 4.2 dB (P ¼ 0.025). RNFL thickness was not significantly altered. Latency of the P2 wave on flash VEP reduced significantly after CEA (P ¼ 0.0151), whereas the oscillatory potential amplitude of waveform 3 in the ERG significantly increased after CEA. Conclusions: Our results demonstrate that an improvement in carotid artery and ophthalmic artery blood flow after CEA does indeed enhance subjective and objective assessments of visual function in patients with carotid artery stenosis, including visual acuity, kinetic and static VF, P2 latency, and ocular pressure amplitude; however, it did not affect RNFL thickness.

show abstract

“…The main symptoms include permanent (AION) or transient (OIS) visual loss and ischemic ocular pain. Generally, it is important to observe ophthalmic symptoms as they may foreshadow possible future cerebrovascular complications [2,6]. Carotid arteriosclerosis can be treated with surgery -the atherosclerotic plaque can be removed by endarterectomy or angioplasty and stenting [1].…”

Section: Introductionmentioning

confidence: 99%

“…A study conducted by Yan et al, aiming at the analysis of changes in the visual field, highlighted how both kinetic and static visual field parameters significantly improved after CEA [9]. Researchers also showed that eyesight appeared to be enhanced after CEA was performed on patients suffering from anterior ischemic optic neuropathy or ocular ischemic syndrome [2,6,15]. Different studies underlined improvements in visual acuity or perimetric parameters after the surgery [16,17].…”

Section: Introductionmentioning

confidence: 99%

Influence of endarterectomy on the structure and function of the retina and optic nerve

et al. 2023

View full text Add to dashboard Cite

Carotid arteries are the main blood vessels supplying the brain, neck, and face as well as ophthalmic arteries. Internal carotid arteriosclerosis is strictly associated with ophthalmic symptoms caused by damage to the optic nerve. This condition can manifest as an ocular ischemic syndrome or anterior ischemic optic neuropathy. One of the surgical procedures that treat carotid arteriosclerosis is an endarterectomy. It has been proved that this surgical procedure can additionally reduce intraocular pressure and improve visual acuity, best corrected visual acuity (BCVA), visual field, a bioelectrical function of the optic nerve and retina, and perfusion of the optic nerve head. It has been also observed that the procedure does not affect retinal nerve fiber layer thickness and ganglion cell layer. The aim of this review was, to sum up information on the influence of endarterectomy on the function of the optic nerve based on the up-to-date internet database.

show abstract

Carotid endarterectomy in a patient with anterior ischemic neuropathy

Cited by 11 publications

References 14 publications

Retrobulbar haemodynamics and carotid wall thickness in patients with non-arteritic anterior ischaemic optic neuropathy

Retrobulbar haemodynamics and carotid wall thickness in patients with non-arteritic anterior ischaemic optic neuropathy

Visual Outcome of Carotid Endarterectomy in Patients with Carotid Artery Stenosis

Influence of endarterectomy on the structure and function of the retina and optic nerve

Contact Info

Product

Resources

About