Asymptomatic Carotid Artery Stenosis
A 76-year-old, asymptomatic male presented for a routine eye examination. His medical and ocular histories were unremarkable except for an oral statin for hyperchlorestolemia. Clinical Findings: Fundus photography revealed a Hollenhorst plaque OD. An urgent carotid duplex showed carotid arteriolar stenosis of right 50-69%, left 15% due to arteriosclerosis. Patient is awaiting surgical evaluation for right carotid endarterectomy.