Transient Visual Loss

RINCE LIYANTI

Neuro Opthalmology Sub Division

Depatment of Ophthalmology
Andalas University
2015

Introduction
The

word transient may be defined

as being temporary or momentary.

Transient

visual loss is a reversible

symptom of some underlying disease

The

loss of vision may be monocular or

bilateral, and may last from seconds or
minutes, but less than 24 hours.

Introduction
Episodes

are usually ischemic in

origin.
Because

of the many causes of

transient
visual
disturbance,
a
structured approach to both the
assessment and the management of
these patients is essential.

Anatomy of Visual
Pathway

Patophysiology
Oclusion
Vasospasm
Compresi

Questions :
Is

the visual loss monocular or binocular?

monocular implies a prechiasmal problem,
whereas binocular is chiasmal or retrochiasmal.

How

old is the patient?

<50th, older, pregnancy with eclamsia

What
What

was the duration of visual loss?

was the pattern of visual loss and

recovery?

Questions :
Does

the patient report associated

symptoms or demonstrate additional
signs?
headache , weight loss, fever,
malaise, loss of consciousness,
dizziness, diplopia, dysarthria, or
focal weakness help localize the
vascular territory involved

Etiology
Vascular
Neurological
Ocular

Transient Monocular
Visual Loss

Transient Binocular Visual loss

Common causes :
Migraine
Occipital mass lesions: tumor,
arteriovenous malformation
Occipital ischemia: embolic,
vasculitic, hypoperfusion
Occipital seizures

THANK YOU