Reversible anterior segment ischaemia after carotid endarterectomy

Abstract

Carotid artery disease has long been implicated in ocular ischaemic syndrome. The classical changes of ocular ischaemic syndrome have not been described to resolve with carotid endarterectomy. Herein, a case of documented carotid artery disease presenting with anterior segment ischaemia and retinal artery emboli is described. Prompt carotid endarterectomy resulted in resolution of most of the anterior segment ischaemic signs within a few days. © 2007 The Authors; Journal compilation © 2007 Royal Australian and New Zealand College of Ophthalmologists.