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Amaurosis fugax - Treatment

Alternative Names

Transient monocular blindness

Treatment:

Treatment of amaurosis fugax depends on the severity of the blockage in the carotid artery. The goal of treatment is to prevent a stroke.

Your doctor may recommend:

  • No treatment. You may only need regular check-ups to check the health of your carotid artery.
  • Diet changes and medication to help lower your cholesterol and control your blood pressure.
  • Aspirin, warfarin (Coumadin), or other blood-thinning medications to lower your risk of stroke.

If a large part of the carotid artery appears blocked, surgery is done to remove the blockage. The decision to do surgery is also based on your overall health. See: Carotid endarterectomy

Expectations (prognosis):

Amaurosis fugax itself usually does not result in permanent disability. However, it means you have atherosclerosis and an increased risk for stroke.

Calling your health care provider:

Call your health care provider if any loss of vision occurs. If symptoms last for longer than a few minutes, or if there are any other symptoms accompanying the visual loss, it is important to seek immediate medical attention.

  • Reviewed last on: 10/4/2010
  • Daniel Kantor, MD, Medical Director of Neurologique, Ponte Vedra, FL and President of the Florida Society of Neurology (FSN). Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Zivin JA. Hemorrhagic cerebrovascular disease. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 432.

Goldstein LB. Prevention and management of stroke. In: Libby P, Bonow RO, Mann DL, Zipes DP, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 8th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 58.

Adams RJ, Albers G, Alberts MJ, Benavente O, Furie K, Goldstein LB, et al. Update to the AHA/ASA recommendations for the prevention of stroke in patients with stroke and transient ischemic attack. Stroke. 2008 May;39(5):1647-52. Epub 2008 Mar 5.

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