Eye pain due to carotid stenosis.

A 63-year-old woman presented with the acute onset of right eye pain. Ophthalmic and neurologic examinations were normal except for a loud right carotid bruit. Directional Doppler examination suggested a critical stenosis of the internal carotid artery. Subsequent arteriography revealed a 95% stenosis. The eye pain ceased following carotid endarterectomy.