de Wilde F, Tassignon M J, Stempels N, Goes E, van den Brande P
Bull Soc Belge Ophtalmol. 1989;231:55-66.
The value of a carotid endarterectomy in patients with ocular symptoms such as amaurosis fugax, scotoma, loss of visual acuity or diplopia is considered from an ophthalmological point of view. The concurrent fundus lesions are discussed and the ocular results of two different groups of patients are presented. A first group of 12 patients underwent an endarterectomy for their specific ocular complaints, while a second group of 15 patients with ocular symptoms associated with carotid lesions were treated conservatively. The usefulness of the retro-ocular doppler sonography in the vascular check-up is stressed. A good visual prognosis after carotid endarterectomy can be predicted when the blood velocity in the ophthalmic artery is 0.2 to 0.4 m/sec.
从眼科角度考虑颈动脉内膜切除术在患有黑矇、暗点、视力丧失或复视等眼部症状患者中的价值。讨论了并发的眼底病变，并呈现了两组不同患者的眼部结果。第一组12例患者因特定眼部症状接受了内膜切除术，而第二组15例伴有颈动脉病变相关眼部症状的患者接受了保守治疗。强调了眼后多普勒超声检查在血管检查中的作用。当眼动脉血流速度为0.2至0.4米/秒时，可预测颈动脉内膜切除术后有良好的视力预后。
