Summary
In a patient with stenosis of the left internal carotid artery acute amaurosis of the left eye was observed after carotid arteriography. The macular branches of the central retinal artery and of the cilioretinal artery were obliterated by embolic material. Two further patients with carotid occlusion and stenosis, in whom spontaneous loss of vision occured, are presented. In such cases the diagnosis may be made with comparable accuracy by other methods, such as ophthalmodynamometry or angioscintigraphy, which entail no risk to the patient.
Zusammenfassung
Bei einem Patienten mit linksseitiger Carotisstenose trat im Anschluß an eine Carotisangiographie eine Erblindung des linken Auges auf. Die macularen Endäste der A. centralis retinae und die A. cilioretinalis waren durch embolisches Material verschlossen. Zwei weitere Patienten mit spontanem Visusverlust bei Carotisverschluß bzw. -stenose werden vorgestellt. Die Diagnose kann mit gleicher Treffsicherheit auch durch die komplikationsarme Ophthalmodynamometrie gestellt werden. Auf die Möglichkeit angioszintigraphischer Diagnostik wird hingewiesen.
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Szepan, B., Schlieter, F. & Lins, E. Einseitige Erblindung als Komplikation der Carotisangiographie. J. Neurol. 213, 227–236 (1976). https://doi.org/10.1007/BF00312872
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DOI: https://doi.org/10.1007/BF00312872