- Cholesterol emboli which usually dislodged from the carotid arteries,
or calcific fragments from a stenosed aortic valve.
- Clinical features:
- Symptoms: usually give no symptoms.
- Signs:
- Planar or flat-shaped, minute, bright, refractile, golden-yellow
crystals that most commonly found at bifurcations of retinal
arteries
- Blood flow may not be disrupted because of the shape of
the crystal.
- Management:
- Patients with atherosclerotic risk factors such as DM or hypertension
require an embolic workup including echocardiography or carotid
doppler
- No treatment is required.
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