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J Ophthalmol. 2018 Dec 18;2018:8324093. doi: 10.1155/2018/8324093. eCollection 2018.

Carotid Artery Endarterectomy Effect on Choroidal Thickness: One-Year Follow-Up.

Journal of ophthalmology

Gilad Rabina, Dana Barequet, Michael Mimouni, Yefim Rabinovitch, Yehuda Wolf, Adiel Barak, Anat Loewenstein, Shulamit Schwartz

Affiliations

  1. Division of Ophthalmology, Sourasky Medical Center, Affiliated with Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
  2. Department of Ophthalmology, Rambam Health Care Campus, Affiliated with the Ruth Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
  3. Department of Vascular Surgery, Sourasky Medical Center, Affiliated with Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.

PMID: 30662767 PMCID: PMC6312583 DOI: 10.1155/2018/8324093

Abstract

PURPOSE: To evaluate the change in choroidal thickness after carotid artery endarterectomy (CEA) in patients without retinal pathology.

METHODS: A prospective series of patients who underwent CEA at the Tel Aviv Medical Center. Spectral domain optical coherence tomography (SD-OCT) was performed one day before the CEA and at least 6 months after. Data included medical history, smoking history, percentage of carotid stenosis before and after CEA, best-corrected visual acuity (BCVA), central macular thickness (CMT), and choroidal thickness (subfoveal, 500 

RESULTS: Eight patients (seven male and one female) with a mean age of 70.5 ± 6.1 years were included in the study. The mean internal carotid artery (ICA) stenosis was 89.8% ± 5.1 in the operated side, 33.7% ± 10.9 in the nonoperated side (

CONCLUSIONS: SFChT and CMT in patients without retinal or choroidal pathology and significant ICA stenosis can be normal and may not change after successful ipsilateral CEA.

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