“It most commonly takes place in individuals whose ocular perfusion is already compromised by carotid disease, in combination with other vascular conditions that result in the inability to compensate for decreased perfusion to the eye.”
Patients with (TVL) almost always present to hospital after their episodes have resolved, which means their ophthalmologic exams tend to be normal.
Doctors may therefore rely on medical and family history to provide clues to the underlying diagnosis of their symptoms.
If carotid artery disease is suspected, a doctor uses a stethoscope to listen out for a whooshing sound in the arteries.
Another common sign of carotid artery disease is a transient ischemic attack or mini-stroke, which causes symptoms like temporary numbness and confusion.