Jennings B J
Vitreo-Retinal Foundation, Memphis, TN 38120.
J Am Optom Assoc. 1994 Jul;65(7):489-510.
Optometrists frequently examine patients with the signs and symptoms of carotid artery disease. Referral for appropriate testing is mandatory in such patients.
A review of the noninvasive tests which an optometrist can perform in the office is presented. The paper also describes the noninvasive tests which are performed in vascular clinics on patients in whom carotid atherosclerosis is to be ruled out. Arteriography, both conventional and digital subtraction studies, is also described.
A discussion of the appropriate medical and surgical treatment of patients with carotid atherosclerosis and the ocular manifestations of it is included in the paper.
With the increasing expansion of the scope of practice for optometrists, it is imperative that the signs and symptoms of carotid atherosclerosis be understood and managed appropriately. Preliminary tests for carotid arterial disease can be performed in the office, and referral for more extensive testing is better accomplished when those tests are understood by the referring optometrist.
验光师经常检查有颈动脉疾病体征和症状的患者。对此类患者进行适当检查的转诊是必需的。
本文介绍了验光师可在诊室进行的无创检查。本文还描述了在血管诊所对需要排除颈动脉粥样硬化的患者进行的无创检查。同时也介绍了传统动脉造影和数字减影动脉造影。
本文讨论了颈动脉粥样硬化患者的适当药物和手术治疗及其眼部表现。
随着验光师执业范围的不断扩大，必须了解并妥善处理颈动脉粥样硬化的体征和症状。颈动脉疾病的初步检查可在诊室进行，当转诊验光师了解这些检查时，进行更广泛检查的转诊会更顺利。
