Bilateral loss of vision in bright light

David O. Wiebers, Jerry W. Swanson, Terrence L. Cascino, Jack P. Whisnant

Research output: Contribution to journalArticlepeer-review

25 Scopus citations


We describe four patients with episodic bilateral vision Impairment related exclusively to light exposure. Each had angiographically documented bilateral high-grade stenosis or occlusion of the internal carotid arteries. This phenomenon appears to be related to bilateral simultaneous retinal ischemia delaying regeneration of visual pigments in the pigment epithelial layer. It must be distinguished from bilateral occipital lobe ischemia caused by vertebrobasilar system disease.

Original languageEnglish (US)
Pages (from-to)554-558
Number of pages5
Issue number4
StatePublished - Apr 1989


  • carotid artery diseases
  • retinal ischemia

ASJC Scopus subject areas

  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine
  • Advanced and Specialized Nursing


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