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Ischemic events to the eye can occur after cervical carotid dissections.1 Ocular vaso-occlusions usually occur within 1 month after the onset of dissection. We report a case of traumatic common carotid occlusion, presumably caused by dissection, which led to an ischemic event to the right eye 4 months after trauma.
A 19-year-old woman complained of acute painless visual loss in her right eye 7 days prior to our examination. Four months earlier, she was involved in a motor vehicle crash as a restrained passenger. She sustained sternal and rib fractures and bilateral pneumothoraces, requiring 2 chest tubes. She did not have any neurological or ocular symptoms and was discharged 1 week after the trauma. Her medical history was notable for sickle cell trait and cigarette use of half a pack per day. She had discontinued her oral contraceptives 1 month prior to the motor vehicle crash.
Godfrey DG, Biousse V, Newman NJ. Delayed Branch Retinal Artery Occlusion Following Presumed Blunt Common Carotid Dissection. Arch Ophthalmol. 1998;116(8):1120–1121. doi:
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