The aim of the study was to show ocular manifestations in carotid artery occlusive disease, with pathogenesis, diagnostic

and therapeutic abilities of this changes. Carotid arteries are the main route by which the blood is supplied to the cerebrum

and eyes. Clinical significant carotid artery stenosis is mainly caused by atherosclerosis. Most frequent neurological symptoms

are transient ischemic attacks (TIA) and temporary visual loss (amaurosos fugax) are most common ocular symptoms. Other

ocular pathologies in fundus examination are retinal embolies, retinal vein occlusion, anterior ischemic optic neuropathy, ocular

ischemic syndrome or glaucoma. Most dangerous complications are stroke, blindness, or even patients death. Besides clinical

examination the diagnosis is usually confirmed by carotid artery color Doppler ultrasound, magnetic resonance angiography and

retinal fluorescein angiography. It is important to refer a patient with suspected or confirmed significant carotid artery stenosis

for appropriate evaluation and treatment to a endovascular surgeon.