Amaurosis fugax

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Amaurosis fugax
The arteries of the choroid and iris. The greater part of the sclera has been removed.
ICD-10 G45.3
ICD-9 362.34
DiseasesDB 501
MedlinePlus 000784
MeSH D020757

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Treatment

If the diagnostic workup reveals a systemic disease process, directed therapies to treat that underlying etiology should be initiated. If the amaurosis fugax is caused by an atherosclerotic lesion, aspirin is indicated, and a carotid endarterectomy if the stenosis is surgically accessible. Generally, if the carotid artery is still patent, the greater the stenosis, the greater the indication for endarterectomy. "Amaurosis fugax appears to be a particularly favorable indication for carotid endarterectomy. Left untreated, this event carries a high risk of stroke; after carotid endarterectomy, which has a low operative risk, there is a very low postoperative stroke rate."[1] If the full diagnostic workup is completely normal, patient observation is recommended.[2]

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References

  1. Bernstein EF, Dilley RB. "Late results after carotid endarterectomy for amaurosis fugax." J Vasc Surg. 1987 Oct;6(4):333-40. PMID 3656582.


Template:Diseases of the nervous system de:Retinaler Arterienverschluss

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