Acute visual loss as the first ocular symptom in a Sjögren’s syndrome patient with bilateral common carotid artery occlusion: a case report

Abstract Background Sjögren’s syndrome may be a risk factor for carotid artery stenosis. Bilateral common carotid artery occlusion (BCCAO) in a patient with Sjögren’s syndrome was not reported before. In this report, we describe a female with Sjögren’s syndrome who had acute visual loss due to ocula...

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Autores principales:	Yi Wan, Hung-Chi Chen, Chia-Yi Lee, Hung-Yu Lin, Chan-Wei Nien
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Sjögren’s syndrome Common carotid artery occlusion Bilateral common carotid artery occlusion Ocular ischemic syndrome Acute visual loss Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/1947fe1395da4480a1c1ce2891575f89
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spelling	oai:doaj.org-article:1947fe1395da4480a1c1ce2891575f892021-11-28T12:42:24ZAcute visual loss as the first ocular symptom in a Sjögren’s syndrome patient with bilateral common carotid artery occlusion: a case report10.1186/s12886-021-02177-x1471-2415https://doaj.org/article/1947fe1395da4480a1c1ce2891575f892021-11-01T00:00:00Zhttps://doi.org/10.1186/s12886-021-02177-xhttps://doaj.org/toc/1471-2415Abstract Background Sjögren’s syndrome may be a risk factor for carotid artery stenosis. Bilateral common carotid artery occlusion (BCCAO) in a patient with Sjögren’s syndrome was not reported before. In this report, we describe a female with Sjögren’s syndrome who had acute visual loss due to ocular ischemic syndrome (OIS) with BCCAO. Case presentation A 50-year-old female with Sjögren’s syndrome visited our clinic with acute visual loss in the left eye. The best corrected visual acuity (BCVA) was 2/100 in the left eye, and the intraocular pressure (IOP) was normal in both eyes. Ocular ischemic change was observed during the ophthalmic examination. Aortography and computed tomography angiography (CTA) showed nearly total occlusion of the bilateral CCA. Thus, OIS with BCCAO was diagnosed. The vision in the left eye improved to 30/100 after carotid artery stenting for the left common carotid artery. Conclusions BCCAO may be present in patients with Sjögren’s syndrome. Large vessel abnormalities should be considered when acute visual loss is found in a patient with Sjögren’s syndrome.Yi WanHung-Chi ChenChia-Yi LeeHung-Yu LinChan-Wei NienBMCarticleSjögren’s syndromeCommon carotid artery occlusionBilateral common carotid artery occlusionOcular ischemic syndromeAcute visual lossOphthalmologyRE1-994ENBMC Ophthalmology, Vol 21, Iss 1, Pp 1-5 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Sjögren’s syndrome Common carotid artery occlusion Bilateral common carotid artery occlusion Ocular ischemic syndrome Acute visual loss Ophthalmology RE1-994
spellingShingle	Sjögren’s syndrome Common carotid artery occlusion Bilateral common carotid artery occlusion Ocular ischemic syndrome Acute visual loss Ophthalmology RE1-994 Yi Wan Hung-Chi Chen Chia-Yi Lee Hung-Yu Lin Chan-Wei Nien Acute visual loss as the first ocular symptom in a Sjögren’s syndrome patient with bilateral common carotid artery occlusion: a case report
description	Abstract Background Sjögren’s syndrome may be a risk factor for carotid artery stenosis. Bilateral common carotid artery occlusion (BCCAO) in a patient with Sjögren’s syndrome was not reported before. In this report, we describe a female with Sjögren’s syndrome who had acute visual loss due to ocular ischemic syndrome (OIS) with BCCAO. Case presentation A 50-year-old female with Sjögren’s syndrome visited our clinic with acute visual loss in the left eye. The best corrected visual acuity (BCVA) was 2/100 in the left eye, and the intraocular pressure (IOP) was normal in both eyes. Ocular ischemic change was observed during the ophthalmic examination. Aortography and computed tomography angiography (CTA) showed nearly total occlusion of the bilateral CCA. Thus, OIS with BCCAO was diagnosed. The vision in the left eye improved to 30/100 after carotid artery stenting for the left common carotid artery. Conclusions BCCAO may be present in patients with Sjögren’s syndrome. Large vessel abnormalities should be considered when acute visual loss is found in a patient with Sjögren’s syndrome.
format	article
author	Yi Wan Hung-Chi Chen Chia-Yi Lee Hung-Yu Lin Chan-Wei Nien
author_facet	Yi Wan Hung-Chi Chen Chia-Yi Lee Hung-Yu Lin Chan-Wei Nien
author_sort	Yi Wan
title	Acute visual loss as the first ocular symptom in a Sjögren’s syndrome patient with bilateral common carotid artery occlusion: a case report
title_short	Acute visual loss as the first ocular symptom in a Sjögren’s syndrome patient with bilateral common carotid artery occlusion: a case report
title_full	Acute visual loss as the first ocular symptom in a Sjögren’s syndrome patient with bilateral common carotid artery occlusion: a case report
title_fullStr	Acute visual loss as the first ocular symptom in a Sjögren’s syndrome patient with bilateral common carotid artery occlusion: a case report
title_full_unstemmed	Acute visual loss as the first ocular symptom in a Sjögren’s syndrome patient with bilateral common carotid artery occlusion: a case report
title_sort	acute visual loss as the first ocular symptom in a sjögren’s syndrome patient with bilateral common carotid artery occlusion: a case report
publisher	BMC
publishDate	2021
url	https://doaj.org/article/1947fe1395da4480a1c1ce2891575f89
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Acute visual loss as the first ocular symptom in a Sjögren’s syndrome patient with bilateral common carotid artery occlusion: a case report

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