Update on the evaluation of transient vision loss

John H Pula,1 Katherine Kwan,2 Carlen A Yuen,3 Jorge C Kattah4 1Department of Neurology, 2Department of ophthalmology, NorthShore University HealthSystem, Evanston IL, USA; 3University of Illinois College of Medicine at Peoria, 4Department of Neurology, University of Illinois College of Medicine at...

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Autores principales:	Pula JH, Kwan K, Yuen CA, Kattah JC
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	transient vision loss TVL amaurosis fugax retinal migraine ocular migraine retinal vasospasm. Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/573efe99957247e58b5af0b66877e023
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spelling	oai:doaj.org-article:573efe99957247e58b5af0b66877e0232021-12-02T00:53:35ZUpdate on the evaluation of transient vision loss1177-5483https://doaj.org/article/573efe99957247e58b5af0b66877e0232016-02-01T00:00:00Zhttps://www.dovepress.com/update-on-the-evaluation-of-transient-vision-loss-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483John H Pula,1 Katherine Kwan,2 Carlen A Yuen,3 Jorge C Kattah4 1Department of Neurology, 2Department of ophthalmology, NorthShore University HealthSystem, Evanston IL, USA; 3University of Illinois College of Medicine at Peoria, 4Department of Neurology, University of Illinois College of Medicine at Peoria, Peoria, IL, USA Abstract: Transient vision loss may indicate underlying vascular disease, including carotid occlusion and thromboembolism, or it may have a more benign etiology, such as migraine or vasospasm. This review focuses on the differential diagnosis and workup of patients presenting with transient vision loss, focusing on several key areas: the relationship to thromboembolic vascular disease, hypercoagulable testing, retinal migraine, and bilateral vision loss. The objective is to provide the ophthalmologist with information on how to best manage these patients. Thromboembolic etiologies for transient vision loss are sometimes managed with medications, but when carotid surgery is indicated, earlier intervention may prevent future stroke. This need for early treatment places the ophthalmologist in the important role of expediting the management process. Hospital admission is recommended in patients presenting with transient symptoms within 72 hours who meet certain high-risk criteria. When the cause is giant cell arteritis, ocular ischemic syndrome, or a cardioembolic source, early management of the underlying condition is equally important. For nonthromboembolic causes of transient vision loss such as retinal migraine or retinal vasospasm, the ophthalmologist can provide reassurance as well as potentially give medications to decrease the frequency of vision loss episodes. Keywords: transient vision loss, TVL, amaurosis fugax, retinal migraine, ocular migraine, retinal vasospasmPula JHKwan KYuen CAKattah JCDove Medical Pressarticletransient vision lossTVLamaurosis fugaxretinal migraineocular migraineretinal vasospasm.OphthalmologyRE1-994ENClinical Ophthalmology, Vol 2016, Iss Issue 1, Pp 297-303 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	transient vision loss TVL amaurosis fugax retinal migraine ocular migraine retinal vasospasm. Ophthalmology RE1-994
spellingShingle	transient vision loss TVL amaurosis fugax retinal migraine ocular migraine retinal vasospasm. Ophthalmology RE1-994 Pula JH Kwan K Yuen CA Kattah JC Update on the evaluation of transient vision loss
description	John H Pula,1 Katherine Kwan,2 Carlen A Yuen,3 Jorge C Kattah4 1Department of Neurology, 2Department of ophthalmology, NorthShore University HealthSystem, Evanston IL, USA; 3University of Illinois College of Medicine at Peoria, 4Department of Neurology, University of Illinois College of Medicine at Peoria, Peoria, IL, USA Abstract: Transient vision loss may indicate underlying vascular disease, including carotid occlusion and thromboembolism, or it may have a more benign etiology, such as migraine or vasospasm. This review focuses on the differential diagnosis and workup of patients presenting with transient vision loss, focusing on several key areas: the relationship to thromboembolic vascular disease, hypercoagulable testing, retinal migraine, and bilateral vision loss. The objective is to provide the ophthalmologist with information on how to best manage these patients. Thromboembolic etiologies for transient vision loss are sometimes managed with medications, but when carotid surgery is indicated, earlier intervention may prevent future stroke. This need for early treatment places the ophthalmologist in the important role of expediting the management process. Hospital admission is recommended in patients presenting with transient symptoms within 72 hours who meet certain high-risk criteria. When the cause is giant cell arteritis, ocular ischemic syndrome, or a cardioembolic source, early management of the underlying condition is equally important. For nonthromboembolic causes of transient vision loss such as retinal migraine or retinal vasospasm, the ophthalmologist can provide reassurance as well as potentially give medications to decrease the frequency of vision loss episodes. Keywords: transient vision loss, TVL, amaurosis fugax, retinal migraine, ocular migraine, retinal vasospasm
format	article
author	Pula JH Kwan K Yuen CA Kattah JC
author_facet	Pula JH Kwan K Yuen CA Kattah JC
author_sort	Pula JH
title	Update on the evaluation of transient vision loss
title_short	Update on the evaluation of transient vision loss
title_full	Update on the evaluation of transient vision loss
title_fullStr	Update on the evaluation of transient vision loss
title_full_unstemmed	Update on the evaluation of transient vision loss
title_sort	update on the evaluation of transient vision loss
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/573efe99957247e58b5af0b66877e023
work_keys_str_mv	AT pulajh updateontheevaluationoftransientvisionloss AT kwank updateontheevaluationoftransientvisionloss AT yuenca updateontheevaluationoftransientvisionloss AT kattahjc updateontheevaluationoftransientvisionloss
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Update on the evaluation of transient vision loss

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