Tsai Jason, Ramanan Bala, Modrall J Gregory, Hurd Paul W, Tsai Shirling
Dallas Veterans Affairs Medical Center, Dallas, TX.
Dallas Veterans Affairs Medical Center, Dallas, TX; Department of Surgery, UT Southwestern Medical Center, Dallas, TX.
Ann Vasc Surg. 2020 Jul;66:671.e1-671.e4. doi: 10.1016/j.avsg.2020.01.096. Epub 2020 Feb 3.
Light-induced amaurosis is a rare manifestation of symptomatic carotid artery disease. Unlike amaurosis fugax, which is often attributed to embolic phenomenon associated with carotid artery disease, light-induced amaurosis has been associated with reduced perfusion to the eye, secondary to carotid artery disease, leading to retinal ischemia. The case described here is that of a 67-year-old male with bilateral vision loss in response to bright light. Imaging revealed severe internal carotid stenosis on the right and occlusion of the internal carotid artery on the left. Similar to previous cases reported in the literature, the symptoms resolved after carotid endarterectomy.
光诱发性黑矇是有症状的颈动脉疾病的一种罕见表现。与通常归因于与颈动脉疾病相关的栓塞现象的一过性黑矇不同,光诱发性黑矇与继发于颈动脉疾病导致的眼部灌注减少有关,进而导致视网膜缺血。此处描述的病例是一名67岁男性,对强光有双侧视力丧失。影像学检查显示右侧颈内动脉严重狭窄,左侧颈内动脉闭塞。与文献中先前报道的病例相似,颈动脉内膜切除术后症状得以缓解。