Biousse V
Department of Neurology, Lariboisière Hospital, Paris, France.
Curr Opin Ophthalmol. 1997 Dec;8(6):16-26. doi: 10.1097/00055735-199712000-00004.
Patients with carotid artery disease may present with monocular, ipsilateral ocular symptoms, and signs that can herald a devastating stroke. Asymptomatic retinal emboli, transient monocular visual loss, and central retinal artery occlusion are the most common. Venous stasis retinopathy and ocular ischemic syndrome are associated with severe hypoperfusion of the eye and usually reflect severe carotid occlusive disease. Embolic ischemic optic neuropathies and compression of the intracranial optic nerve by supraclinoid carotid arteries remain debated. Third-order Horner's syndrome and eye pain are common in carotid artery disease, particularly carotid dissection; carotid artery disease, however, is an uncommon cause of ocular motor nerve palsy. Several recent publications have highlighted the prognosis and management of patients with carotid artery occlusive disease, and have emphasized the role of the ophthalmologist in early diagnosis and prevention of further cerebral and systemic complications.
患有颈动脉疾病的患者可能会出现单眼、同侧眼部症状和体征，这些症状和体征可能预示着毁灭性的中风。无症状性视网膜栓子、一过性单眼视力丧失和视网膜中央动脉阻塞最为常见。静脉淤滞性视网膜病变和眼部缺血综合征与眼部严重灌注不足有关，通常反映严重的颈动脉闭塞性疾病。栓子性缺血性视神经病变以及床突上段颈动脉对颅内视神经的压迫仍存在争议。三级霍纳综合征和眼痛在颈动脉疾病中很常见，尤其是颈动脉夹层；然而，颈动脉疾病是动眼神经麻痹的罕见原因。最近的几篇出版物强调了颈动脉闭塞性疾病患者的预后和管理，并强调了眼科医生在早期诊断和预防进一步的脑部及全身并发症方面的作用。
