U.S. doctors online nowAsk doctors free
A 53-year-old member asked about a 69-year-old male:

my husband was diagnosed with amaurosis fugax. opthlmic tests show no optic nerve damage. carotid ultrsound and echocardiogram both neg. what next?

4 doctor answers13 doctors weighed in
Dr. Ipe Kalathoor
Internal Medicine 17 years experience
Amayrosis fugax: Amaurosis fugax is transient loss of vision in one eye from circulatory issues. One of the causes is a clot from neck arteries or heart going into the eye through blood stream. There are other causes to be considered like glaucoma , vasculitis(inflammation of blood vessels especially giant cell arteritis) coagulation disorder. If all work up is negative , chance of recurrence is very low.
Dr. Creighton Wright
General Surgery 56 years experience
Anti platelet medication is frequently recommended to reduce small platelet emboli from rough spots in the arterial circulation to the eye and brain
Apr 21, 2013
Dr. John Kayvanfar
Sports Medicine 46 years experience
Read the book called Future Of Mankind related to food
Apr 22, 2013
Dr. Victor Bonuel
Internal Medicine 38 years experience
Sometimes it's hard : To find the exact cause. Vascular spasm may cause it but hard to prove. Some autoimmune condition may cause it.
Dr. Timothy Wu
Vascular Surgery 18 years experience
Further imaging: If your husband is truly having amaurosis fugax and if the carotid ultrasound and heart echo are normal, then he needs a ct angiogram of the head, neck, and aortic arch to rule out other potential etiologies, including confirming the carotid arteries are disease free. Carotid ultrasound is a good, but not perfect, test. I'd suggest he see a board certified vascular surgeon to discuss further.
Dr. William Gaya
Neurology 29 years experience
A trams esophageal echocardiogram may be more informative as it may provide better images of the left atrium and appendage., and aortic arch
May 7, 2013
Dr. Timothy Wu
Dr. Timothy Wu commented
Vascular Surgery 18 years experience
Provided original answer
Agreed. TEEs are more useful than TTEs in this setting in certain cases. Still a CTA best for evaluating calcification of the arch.
May 7, 2013
Dr. Creighton Wright
General Surgery 56 years experience
Migraine.: If associated with aura, headache and re urgency, this may be a migraine type. Atherosclerosis with irregular plaque in the ascending aorta, as well as carotid plaque can cause embolism, or platelet emboli. Anti platelet therapy may be helpful until or after the source is determined. Some coagulopathies may also cause symptoms.

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Personalized answers
Talk to a doctor
$30 per visit with

Similar questions

A 34-year-old member asked:

Is it safe to have lasik eye surgery while pregnant?

6 doctor answers24 doctors weighed in
Dr. David Zisow
Obstetrics and Gynecology 47 years experience
No: Lasik is "safe" from the perspective of risks of harm to the mother or fetus but, "will the procedure be effective"? Pregnancy is associated with visual accuity changes related to fluid retention and corneal edema. Elective vision correction surgery is best done in a baseline non-pregnant condition to achieve long term good results. More than "what meets the eye" must be considered here.
A 32-year-old member asked:

Is it safe to have lasik eye surgery during pregnancy?

4 doctor answers9 doctors weighed in
Dr. John Odette
Ophthalmology 15 years experience
Maybe: It is technically safe to have lasik during pregnancy, however I do not recommend it as a general rule. Many changes happen during pregnancy and occasionally your prescription can change. This would give you a suboptimal result. Also, consider that prk(a procedure similar to lasik) often uses Mitomycin c which is known to cause birth defects. This should be completely avoided. Just wait 9 months.
A 45-year-old member asked:

I've been wearing an abdominal support belt, but my back pain hasn't decreased. Could I have a pinched nerve?

3 doctor answers9 doctors weighed in
Dr. Padmavati Garvey
A Verified Doctoranswered
A US doctor answeredLearn more
Possible: Back pain in pregnancy is extremely common. The added weight and the change in the curve of the spine both contribute to the back pain.
Dr. Tariq Niazi
Dr. Tariq Niazi commented
Orthopedic Surgery 43 years experience
It should get better after the birth, but if it persists or gets worse, then you need to see a spine surgeon.
Oct 14, 2013
Salem, OR
A 27-year-old female asked:

I have allergies I sneeze every morning but I have seen I have itchy eyes they itch all the time and I feel better rubbing them. Please help prescription needed?

1 doctor answer2 doctors weighed in
Dr. Martin Bress
Internal Medicine 50 years experience
See your Doctor: There are steroid nasal sprays that are very efffective for controlling sneezing and nasal congestion. Naphcon a eye drops can be purchased without a prescription and help treat itchy eyes.
Homestead, FL
A 24-year-old female asked:

Around my aunt eye there is some swelling , some pain , itchy. The pain level is a 5 on a scale 1-10 . Should we be concerned ?

1 doctor answer1 doctor weighed in
Dr. Andrew Shatz
Ophthalmology 26 years experience
See an eye doctor: Swelling and pain around the eye may be caused by an infection. If left untreated, it can potentially get into the eye socket and even the brain. Your aunt should be evaluated by an eye doctor immediately.

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Personalized answers
Talk to a doctor
$30 per visit with
Last updated Mar 24, 2015
Connect with a U.S. board-certified doctor by text or video anytime, anywhere.
$30 per visit with


Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Never disregard or delay professional medical advice in person because of anything on HealthTap. Call your doctor or 911 if you think you may have a medical emergency.