Branch retinal artery occlusion following carotid stenting: A case report

Sun,Ran; Peng,Xiao‑Yan; You,Qi‑Sheng; Jiao,Li‑Qun; Liu,Da‑Chuan

doi:10.3892/etm.2016.3581

Branch retinal artery occlusion following carotid stenting: A case report

Authors:
- Ran Sun
- Xiao‑Yan Peng
- Qi‑Sheng You
- Li‑Qun Jiao
- Da‑Chuan Liu
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Affiliations: Department of Opthalmology, Beijing Xuan Wu Hospital, Capital Medical University, Beijing 100053, P.R. China, Beijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing 100005, P.R. China, Department of Interventional Radiology, Beijing Xuan Wu Hospital, Capital Medical University, Beijing 100053, P.R. China
Published online on: August 9, 2016 https://doi.org/10.3892/etm.2016.3581
Pages: 2183-2186

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Abstract

A 70 year old male was diagnosed with carotid stenosis and underwent carotid artery stenting (CAS). Severe postoperative complications arose subsequent to the procedure, including decreased visual acuity and symptoms of a visual field defect, and the patient was eventually diagnosed with retinal artery embolism. CAS reduces carotid plaque; however, the subsequent shedding of carotid plaque may cause retinal artery embolism, resulting in the serious loss of visual function in patients. This complication is of paramount importance and requires great consideration from the neurologist and the patients undergoing CAS. Ophthalmic evaluation is paramount following CAS due to the possibility of embolic occlusion of the retinal artery. It is imperative that patients be informed of the risk of permanent vision loss as a result of CAS.

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