HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS REGISTER		Author Keyword(s) Vol Page [Advanced]

This Article Full Text (PDF) Submit a response Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Email this link to a friend Similar articles in this journal Add article to my folders Download to citation manager Request Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Articles by McIlwaine, G. G. Articles by Lueck, C. J. Search for Related Content PubMed Articles by McIlwaine, G. G. Articles by Lueck, C. J.

Transient or Intermittent Visual Loss

^* Princess Alexandra Eye Pavilion, Chalmers Street, Edinburgh UK;
The Canberra Hospital, P.O. Box 11, ACT, 2606, Australia; Email: Christian.Lueck{at}hotmail.com

EXTRACT

The neurologist will be quite familiar with common causes of transient or intermittent visual loss such as migraine, ischaemic amaurosis fugax and optic neuritis. However, if there is any doubt about the diagnosis, and the patient hasn’t already been seen by an ophthalmologist, then he or she should be referred to make sure the eye itself is normal. This is because confusion can occasionally arise when the visual loss is actually ocular in origin, as in the following examples.

OBSCURATIONS DUE TO PAPILLOEDEMA

Patients with papilloedema of any cause can develop transient visual disturbance, often brought on by change in posture such as bending over. The visual loss is typically ‘grey’ rather than ‘black’, bilateral rather than monocular, and lasts for a matter of seconds, as opposed to the total visual loss in ischaemic and monocular amaurosis fugax, which typically lasts a minute or two.

FUCHS’ CORNEAL ENDOTHELIAL DYSTROPHY (CORNEAL ...

[PDF of this article]