Your Good Health: Cholesterol embolus in eye can lead to stroke

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Your Good Health: Cholesterol embolus in eye can lead to stroke
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Source of cholesterol could send another embolus to your eye, to different part of your brain or or to another critical organ

Dear Dr. Roach: During my recent visit with my optometrist, a retinal embolus was discovered in my right eye. It was stated that this embolus could possibly dislodge, travel to my brain and cause a stroke. A carotid ultrasound didn’t show a problem with the blood flow there. Now I am waiting to get a referral with a retinal specialist, which will take four to six weeks.

However, there are other types of emboli. Air can get into the blood system and cause an air embolus, but your case consists of a cholesterol embolus, which usually comes from a cholesterol plaque in the heart or the large vessels, like the aorta or the carotid arteries. The optometrist can diagnose a cholesterol embolus by sight — that’s what a Hollenhorst plaque is.

To reduce that risk, your regular doctor or cardiologist should consider what’s best for you. Almost everyone with a history of cholesterol emboli should be on lipid-reducing therapy. Statin drugs, in particular, have been shown to stabilize the plaque, even if the blood cholesterol is in the desirable range.

I recommend avoiding any kind of medical procedure and extreme exercise until you have had a more thorough evaluation.

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timescolonist /  🏆 15. in CA

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