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Can there be a possibility of stroke after retinal ischemia?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I recently lost partial vision in my left eye. I was diagnosed with retinal ischemia by an eye specialist. After an angiogram, he suspects a small crystal of plaque blocking the blood supply to a portion of my retina.

He told me I should see a cardiologist fairly soon, as he has worries about where that plaque is coming from and that I am a possible candidate for a stroke. The earliest I can see a cardiologist is still a week away.

I am wondering if this is more urgent than that. I am 54 years old, currently taking Prednisone and Methotrexate for recently diagnosed psoriatic arthritis. I also have controlled blood sugar with Metformin and cholesterol with a small daily dose of Atorvastatin. I feel fine except for the vision loss.

Thank you.

Answered by Dr. Prashant Valecha

Education:

MD Physician

Professional Bio:

Dr. Prashant Valecha is a General Practitioner and an expert in Preventive and Noninvasive Cardiology and completed his MD Physician from Yerevan State Medical University, Armenia, in 2009. He is an expert in treating all cardiac ailments. He has 14 years of clinical experience and is currently practicing in Bhopal.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

There are chances of cardioembolic stroke (some clot or infected vegetation) particles that your ophthalmologist suspects. Your cardiologist will do an echocardiogram and see if any source of that in your heart.

To prevent stroke, I suggest taking one high dose of Aspirin 325 mg and Atorvastatin 80 mg and then Aspirin 150 mg with Atorvastatin 40 mg every day. Consult your doctor and take the medication accordingly. If it is not infected vegetation (as in infective endocarditis), you can prevent stroke and any other infarction.

I hope that you get your answer.

Please let me know if you need any help.

Thank you.

Medically reviewed by Dr. K. Shobana
Published At February 23, 2016
Reviewed At September 20, 2024

Education:

MD Physician

Professional Bio:

Dr. Prashant Valecha is a General Practitioner and an expert in Preventive and Noninvasive Cardiology and completed his MD Physician from Yerevan State Medical University, Armenia, in 2009. He is an expert in treating all cardiac ailments. He has 14 years of clinical experience and is currently practicing in Bhopal.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

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Concerned about stroke risk after retinal ischemia?

Five quick questions help you understand your potential stroke risk after retinal ischemia and guide you on when to consult a doctor.

Private and judgment-free. This tool provides educational information only and does not diagnose, treat, or replace professional medical advice. Consult a qualified healthcare professional for personalized medical guidance. Medications should be taken after consulting a physician. The dosages will be prescribed by the physician. Do not alter, start, or stop medications without consulting a healthcare professional.

Education:

MD Physician

Professional Bio:

Dr. Prashant Valecha is a General Practitioner and an expert in Preventive and Noninvasive Cardiology and completed his MD Physician from Yerevan State Medical University, Armenia, in 2009. He is an expert in treating all cardiac ailments. He has 14 years of clinical experience and is currently practicing in Bhopal.

This doctor is not available for online consultations on the platform anymore.

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