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Controversies in Neuro-Ophthalmic Management pp 171–187Cite as

Transient Monocular Vision Loss

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Abstract

Transient monocular vision loss (TMVL) is a common presenting symptom in both primary care and ophthalmology clinics. The differential diagnosis is broad, and a physician must properly triage patients with TMVL to ensure adequate workup and prompt treatment. On initial evaluation, important questions include confirming monocular vision loss, episode length, progression over time, inciting factors, pattern of visual loss, and associated symptoms such as headache, pain, or double vision. Given the inherent transient nature of the vision loss, the physical exam can be normal when the patient presents to the clinic, underscoring the importance of a detailed history of presenting symptoms and review of medical history. Timing and necessity of further ophthalmic testing, neuroimaging, and serological analyses are guided by the patient’s presenting symptoms and examination, with emphasis placed on life-saving measures for those patients at risk for developing a stroke and/or permanent vision loss.

Keywords

  • Transient monocular vision loss
  • Amaurosis fugax
  • Transient visual obscurations
  • Giant cell arteritis
  • Migraine
  • Optic nerve head drusen
  • Carotid endarterectomy
  • Carotid atherosclerosis

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References

  1. Gan KD, Mouradian MS, Weis E, Lewis JR. Transient monocular visual loss and retinal migraine. CMAJ. 2005;173(12):1441–2. https://doi.org/10.1503/cmaj.050128.

    CrossRef  PubMed  PubMed Central  Google Scholar 

  2. Lai J, Dilli E. Migraine aura: updates in pathophysiology and management. Curr Neurol Neurosci Rep. 2020;20(6):1–10. https://doi.org/10.1007/s11910-020-01037-3.

    CrossRef  Google Scholar 

  3. Grosberg BM, Solomon S, Friedman DI, Lipton RB. Retinal migraine reappraised. Cephalalgia. 2006;26(11):1275–86. https://doi.org/10.1111/j.1468-2982.2006.01206.x.

    CAS  CrossRef  PubMed  Google Scholar 

  4. Olesen J. Headache Classification Committee of the International Headache Society (IHS) the international classification of headache disorders, 3rd edition. Cephalalgia. 2018;38(1):1–211. https://doi.org/10.1177/0333102417738202.

    CrossRef  Google Scholar 

  5. Pradhan S, Chung SM. Retinal, ophthalmic, or ocular migraine. Curr Neurol Neurosci Rep. 2004;4:391–7.

    CrossRef  Google Scholar 

  6. Winterkorn JMS. “Retinal migraine” is an oxymoron. J Neuro-Ophthalmol. 2007;27(1):1–2. https://doi.org/10.1097/WNO.0b013e3180334dd1.

    CrossRef  Google Scholar 

  7. Tomsak RL, Jergens PB. Benign recurrent transient monocular blindness: a possible variant of acephalgic migraine. Headache J Head Face Pain. 1987;27(2):66–9. https://doi.org/10.1111/j.1526-4610.1987.hed2702066.x.

    CAS  CrossRef  Google Scholar 

  8. Burger SK, Saul RF, Selhorst JB, Thurston SE. Transient monocular blindness caused by vasospasm. N Engl J Med. 1991;325(12):870–3. https://doi.org/10.1056/NEJM199109193251207.

    CAS  CrossRef  PubMed  Google Scholar 

  9. Imes R, Hoyt WF. Exercise-induced transient visual events in young healthy adults. J Clin Neuroophthalmol. 1989;9(3):178–80. https://collections.lib.utah.edu/details?id=226317. Accessed June 28, 2020

    CAS  PubMed  Google Scholar 

  10. Ewing CC. Recurrent monocular blindness. Lancet. 1968;291(7550):1035–6. https://doi.org/10.1016/S0140-6736(68)91142-2.

    CrossRef  Google Scholar 

  11. Youssef N, Maalouf N, Saade J. Teaching NeuroImages: retinal migraine in action. Artic Neurol. 2018; https://doi.org/10.1212/WNL.0000000000005130.

  12. Biousse V, Newman NJ, Sternberg P. J. Retinal vein occlusion and transient monocular visual loss associated with hyperhomocystinemia. Am J Ophthalmol. 1997;124(2):257–60. https://doi.org/10.1016/S0002-9394(14)70800-1.

    CAS  CrossRef  PubMed  Google Scholar 

  13. Pandit JC, Fritsche P. Permanent monocular blindness and ocular migraine. J R Soc Med. 1997;90(12):691–2. https://doi.org/10.1177/014107689709001219.

    CAS  CrossRef  PubMed  PubMed Central  Google Scholar 

  14. Beversdorf D, Stommel E, Allen CN, Stevens R, Lessell S. Recurrent branch retinal infarcts in association with migraine. Headache J Head Face Pain. 1997;37(6):396–9. https://doi.org/10.1046/j.1526-4610.1997.3706396.x.

    CAS  CrossRef  Google Scholar 

  15. Reggio E, Chisari CG, Ferrigno G, et al. Migraine causes retinal and choroidal structural changes: evaluation with ocular coherence tomography. J Neurol. 2017;264(3):494–502. https://doi.org/10.1007/s00415-016-8364-0.

    CrossRef  PubMed  Google Scholar 

  16. Newman NJ, Lessell S, Brandt EM. Bilateral central retinal artery occlusions, disk drusen, and migraine. Am J Ophthalmol. 1989; https://doi.org/10.1016/0002-9394(89)90305-X.

  17. Byrne E. Retinal migraine and the pill. Med J Aust. 1979;2(12):659–60. https://doi.org/10.5694/j.1326-5377.1979.tb127272.x.

    CAS  CrossRef  PubMed  Google Scholar 

  18. Albers GW, Simon LT, Hamik A, Peroutka SJ. Nifedipine versus propranolol for the initial prophylaxis of migraine. Headache J Head Face Pain. 1989;29(4):215–8. https://doi.org/10.1111/j.1526-4610.1989.hed22904215.x.

    CAS  CrossRef  Google Scholar 

  19. Tfelt-Hansen P. Prophylactic pharmacotherapy of migraine: some practical guidelines. Neurol Clin. 1997;15(1):153–65. https://doi.org/10.1016/S0733-8619(05)70301-7.

    CAS  CrossRef  PubMed  Google Scholar 

  20. Yancy CW, Jessup M, Bozkurt B, et al. 2013 ACCF/AHA guideline for the management of heart failure: a report of the American College of Cardiology Foundation/American Heart Association task force on practice guidelines. Circulation. 2013;128(16) https://doi.org/10.1161/CIR.0b013e31829e8776.

  21. Zheng SL, Roddick AJ. Association of aspirin use for primary prevention with cardiovascular events and bleeding events: a systematic review and meta-analysis. JAMA – J Am Med Assoc. 2019;321(3):277–87. https://doi.org/10.1001/jama.2018.20578.

  22. Luscher TF, Stanson AW, Houser OW. Subject review arterial fibromuscular dysplasia. Mayo Clin Proc. 1987; https://doi.org/10.1016/S0025-6196(12)65051-4.

  23. Narula N, Kadian-Dodov D, Olin JW. Fibromuscular dysplasia: contemporary concepts and future directions. Prog Cardiovasc Dis. 2018;60(6):580–5. https://doi.org/10.1016/j.pcad.2018.03.001.

    CrossRef  PubMed  Google Scholar 

  24. Olin JW, Froehlich J, Gu X, et al. The United States registry for fibromuscular dysplasia: results in the first 447 patients. Circulation. 2012;125(25):3182–90. https://doi.org/10.1161/CIRCULATIONAHA.112.091223.

    CrossRef  PubMed  Google Scholar 

  25. Brinza EK, Gornik HL. Fibromuscular dysplasia: advances in understanding and management. Cleve Clin J Med. 2016;83(11):S45–51. https://doi.org/10.3949/ccjm.83.s2.06.

    CrossRef  PubMed  Google Scholar 

  26. Sawada T, Harino S, Ikeda T. Central retinal artery occlusion in a patient with fibromuscular dysplasia. Retin J Retin Vitr Dis. 2004;24(3):461–4. https://doi.org/10.2147/OPTH.S55011.

    CrossRef  Google Scholar 

  27. Warrasak S, Tapaneya-Olarn W, Euswas A, Sriphojanart S, Sirikulchayanonta V, Leelachaikul P. Fibromuscular dysplasia: a rare cause of cilioretinal artery occlusion in childhood. Ophthalmology. 2000;107(4):737–41. https://doi.org/10.1016/S0161-6420(99)00147-5.

    CAS  CrossRef  PubMed  Google Scholar 

  28. Altun A, Altun G, Olcaysu OO, Kurna SA, Aki SF. Central retinal artery occlusion in association with fibromuscular dysplasia. Clin Ophthalmol. 2013;7:2253–5. https://doi.org/10.2147/OPTH.S55011.

    CrossRef  PubMed  PubMed Central  Google Scholar 

  29. Choi JH, Jung J, Park KP, et al. Intracranial fibromuscular dysplasia presenting as various ocular manifestations. J Neurol Sci. 2014;337(1–2):232–4. https://doi.org/10.1016/j.jns.2013.12.009.

    CrossRef  PubMed  Google Scholar 

  30. Finsterer J, Strassegger J, Haymerle A, Hagmüller G. Bilateral stenting of symptomatic and asymptomatic internal carotid artery stenosis due to fibromuscular dysplasia. J Neurol Neurosurg Psychiatry. 2000;69(5):683–6. https://doi.org/10.1136/jnnp.69.5.683.

    CAS  CrossRef  PubMed  PubMed Central  Google Scholar 

  31. Kraus CL, Sheybani A, Schadlu R, Apte RS. Retinal vascular occlusions and macular thinning in fibromuscular dysplasia. Retin Cases Br Rep. 2010;4(4):370–2. https://doi.org/10.1097/ICB.0b013e3181b5f2ab.

    CrossRef  Google Scholar 

  32. Meire FM, De Laey JJ, Van Thienen MN, Schuddinck L. Retinal manifestations in fibromuscular dysplasia. Eur J Ophthalmol. 1991;1(2):63–8. https://doi.org/10.1177/112067219100100202.

    CAS  CrossRef  PubMed  Google Scholar 

  33. Gornik HL, Persu A, Adlam D, et al. First international consensus on the diagnosis and management of fibromuscular dysplasia. Vasc Med (United Kingdom). 2019;24(2):164–89. https://doi.org/10.1177/1358863X18821816.

    CrossRef  Google Scholar 

  34. Collins GJ, Rich NM, Clagett GP, Spebar MJ, Salander JM. Fibromuscular dysplasia of the internal carotid arteries. Clinical experience and follow-up. Ann Surg. 1981;194(1):89–96. https://doi.org/10.1097/00000658-198107000-00016.

    CrossRef  PubMed  PubMed Central  Google Scholar 

  35. Megur B, Megur D, Megur U, Reddy S. Anterior ischemic optic neuropathy in association with optic nervehead drusen. Indian J Ophthalmol. 2014;62(7):829–31. https://doi.org/10.4103/0301-4738.138636.

    CrossRef  PubMed  PubMed Central  Google Scholar 

  36. Allegrini D, Pagano L, Ferrara M, et al. Optic disc drusen: a systematic review: up-to-date and future perspective. Int Ophthalmol. 2020; https://doi.org/10.1007/s10792-020-01365-w.

  37. Rosenberg MA, Savino PJ, Glaser JS. A clinical analysis of pseudopapilledema. Arch Ophthalmol. 1979;97(1):65–70. https://doi.org/10.1001/archopht.1979.01020010005001.

    CAS  CrossRef  PubMed  Google Scholar 

  38. Savino PJ, Glaser JS, Rosenberg MA. A clinical analysis of pseudopapilledema: II. Visual field defects. Arch Ophthalmol. 1979;97(1):71–5. https://doi.org/10.1001/archopht.1979.01020010011002.

  39. Noval S, Visa J, Contreras I. Visual field defects due to optic disk drusen in children. Graefes Arch Clin Exp Ophthalmol. 2013;251(10):2445–50. https://doi.org/10.1007/s00417-013-2384-6.

    CrossRef  PubMed  Google Scholar 

  40. Hamann S, Malmqvist L, Costello F. Optic disc drusen: understanding an old problem from a new perspective. Acta Ophthalmol. 2018;96(7):673–84. https://doi.org/10.1111/aos.13748.

    CrossRef  PubMed  Google Scholar 

  41. Davis P, Jay W. Optic nerve head drusen. Semin Ophthalmol. 2003;18(4):222–42.

    CrossRef  Google Scholar 

  42. Pineles SL, Arnold AC. Fluorescein angiographic identification of optic disc drusen with and without optic disc edema. J Neuro-Ophthalmol. 2012;32(1):17–22. https://doi.org/10.1097/WNO.0b013e31823010b8.

    CrossRef  Google Scholar 

  43. Malmqvist L, Bursztyn L, Costello F, et al. The optic disc drusen studies consortium recommendations for diagnosis of optic disc drusen using optical coherence tomography. J Neuro-Ophthalmol. 2018;38(3):299–307. https://doi.org/10.1097/WNO.0000000000000585.

    CrossRef  Google Scholar 

  44. Duncan JE, Freedman SF, El-Dairi MA. The incidence of neovascular membranes and visual field defects from optic nerve head drusen in children. J AAPOS. 2016;20(1):44–8. https://doi.org/10.1016/j.jaapos.2015.10.013.

    CrossRef  PubMed  Google Scholar 

  45. Karti O, Top Karti D, Zengin MO, Yüksel B, Oguztoreli M, Kusbeci T. Acute unilateral anterior ischemic optic neuropathy secondary to optic nerve head drusen: report of a rare coexistence. Neuro-Ophthalmology. 2019;43(5):330–3. https://doi.org/10.1080/01658107.2018.1520900.

    CrossRef  PubMed  Google Scholar 

  46. Purvin V, King R, Kawasaki A, Yee R. Anterior ischemic-optic neuropathy in eyes with optic disc drusen. Arch Ophthalmol. 2004;122(1):48–53. https://doi.org/10.1001/archopht.122.1.48.

    CrossRef  PubMed  Google Scholar 

  47. Farah SG, Mansour AM. Central retinal artery occlusion and optic disc drusen. Eye. 1998;12(3):480–2. https://doi.org/10.1038/eye.1998.112.

    CrossRef  PubMed  Google Scholar 

  48. Auw-Haedrich C, Staubach F, Witschel H. Optic disk drusen. Surv Ophthalmol. 2002;47(6):515–32. https://doi.org/10.1016/S0039-6257(02)00357-0.

    CrossRef  PubMed  Google Scholar 

  49. Leal-González M, Pessanha F, Azevedo González-Oliva M, Pérez-Fernández E, Gili P. Study of peripapillary vascular flow using optical coherence tomography angiography in optic nerve head drusen. Clin Experiment Ophthalmol. 2020:ceo.13783. https://doi.org/10.1111/ceo.13783.

  50. Cennamo G, Montorio D, Giunta P, Tranfa F. Optical coherence tomography angiography in nonarteritic anterior ischemic optic neuropathy due to optic nerve head drusen. Neurol Sci. 2020:1–3. https://doi.org/10.1007/s10072-020-04493-4.

  51. Palmer E, Gale J, Crowston JG, Wells AP. Optic nerve head drusen: an update. Neuro-Ophthalmology. 2018;42(6):367–84. https://doi.org/10.1080/01658107.2018.1444060.

    CrossRef  PubMed  PubMed Central  Google Scholar 

  52. Almog Y, Nemet A, Nemet AY. Optic disc drusen demonstrate a hyperechogenic artifact in B mode ultrasound. J Clin Neurosci. 2016;23:111–9. https://doi.org/10.1016/j.jocn.2015.08.005.

    CrossRef  PubMed  Google Scholar 

  53. Wilkins JM, Pomeranz HD. Visual manifestations of visible and buried optic disc drusen. J Neuro-Ophthalmol. 2004;24(2):125–9. https://doi.org/10.1097/00041327-200406000-00006.

    CrossRef  Google Scholar 

  54. Lam BL, Morais CG, Pasol J. Drusen of the optic disc. Curr Neurol Neurosci Rep. 2008;8(5):404–8. https://doi.org/10.1007/s11910-008-0062-6.

    CrossRef  PubMed  Google Scholar 

  55. Mullie MA, Sanders MD. Scleral canal size and optic nerve head drusen. Am J Ophthalmol. 1985;99(3):356–9. https://doi.org/10.1016/0002-9394(85)90369-1.

    CAS  CrossRef  PubMed  Google Scholar 

  56. White RJ, Watson DJ, Koozekanani DD, Montezuma SR. Association of optic nerve head drusen with best vitelliform macular dystrophy: a case series. Case Rep Ophthalmol. 2018;9(1):76–86. https://doi.org/10.1159/000485963.

    CrossRef  PubMed  PubMed Central  Google Scholar 

  57. Grippo TM, Shihadeh WA, Schargus M, et al. Optic nerve head drusen and visual field loss in normotensive and hypertensive eyes. J Glaucoma. 2008;17(2):100–4. https://doi.org/10.1097/IJG.0b013e31814b995a.

    CrossRef  PubMed  Google Scholar 

  58. Chaturvedi S., Bruno A., Feasby T., Holloway R., Benavente O., Cohen, S. N., Cote R., Hess D., Saver J., Spence J. D., Stern B., Wilterdink J. Carotid endarterectomy—An evidence-based review. Report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology. Neurology 2005;65(6):794–801. https://doi.org/10.1212/01.wnl.0000176036.07558.82.

  59. Vodopivec I, Cestari DM, Rizzo JF. Management of transient monocular vision loss and retinal artery occlusions. Semin Ophthalmol. 2017;32(1):125–33. https://doi.org/10.1080/08820538.2016.1228417.

    CrossRef  PubMed  Google Scholar 

  60. Donders RCJM, Algra A, Rappelle LJ, Van Gijn J, Koudstaal PJ. Clinical features of transient monocular blindness and the likelihood of atherosclerotic lesions of the internal carotid artery. J Neurol Neurosurg Psychiatry. 2001;71(2):247–9. https://doi.org/10.1136/jnnp.71.2.247.

    CAS  CrossRef  PubMed  PubMed Central  Google Scholar 

  61. Goodwin JA, Gorelick PB, Helgason CM. Symptoms of amaurosis fugax in atherosclerotic carotid artery disease. Neurology. 1987;37(5):829–32. https://doi.org/10.1212/wnl.37.5.829.

    CAS  CrossRef  PubMed  Google Scholar 

  62. Benavente O, Eliasziw M, Streifler JY, Fox AJ, Barnett HJM, Meldrum H. Prognosis after transient monocular blindness associated with carotid-artery stenosis. N Engl J Med. 2001;345(15):1084–90. https://doi.org/10.1056/NEJMoa002994.

    CAS  CrossRef  PubMed  Google Scholar 

  63. Pula JH, Kwan K, Yuen CA, Kattah JC. Clinical ophthalmology update on the evaluation of transient vision loss. Clin Ophthalmol. 2016; https://doi.org/10.2147/OPTH.S94971.

  64. Biousse V. Acute retinal arterial ischemia: an emergency often ignored. Am J Ophthalmol. 2014;157(6):1119–21. https://doi.org/10.1016/j.ajo.2014.02.018.

    CrossRef  PubMed  Google Scholar 

  65. Johnston SC, Rothwell PM, Nguyen-Huynh MN, et al. Validation and refinement of scores to predict very early stroke risk after transient ischaemic attack. Lancet. 2007;369(9558):283–92. https://doi.org/10.1016/S0140-6736(07)60150-0.

    CrossRef  PubMed  Google Scholar 

  66. Johnston SC, Gress DR, Browner WS, Sidney S. Short-term prognosis after emergency department diagnosis of TIA. J Am Med Assoc. 2000;284(22):2901–6. https://doi.org/10.1001/jama.284.22.2901.

    CAS  CrossRef  Google Scholar 

  67. Easton JD, Saver JL, Albers GW, et al. Definition and evaluation of transient ischemic attack. Stroke. 2009;40(6):2276–93. https://doi.org/10.1161/STROKEAHA.108.192218.

    CrossRef  PubMed  Google Scholar 

  68. Tippin J, Corbett JJ, Kerber RE, Schroeder E, Thompson HS. Amaurosis fugax and ocular infarction in adolescents and young adults. Ann Neurol. 1989;26(1):69–77. https://doi.org/10.1002/ana.410260111.

    CAS  CrossRef  PubMed  Google Scholar 

  69. Poole CJM, Russell RWR, Harrison P, Savidge GF. Amaurosis fugax under the age of 40 years. J Neurol Neurosurg Psychiatry. 1987;50(1):81–4. https://doi.org/10.1136/jnnp.50.1.81.

    CAS  CrossRef  PubMed  PubMed Central  Google Scholar 

  70. Lee J, Kim SW, Lee SC, Kwon OW, Kim YD, Byeon SH. Co-occurrence of acute retinal artery occlusion and acute ischemic stroke: diffusion-weighted magnetic resonance imaging study. Am J Ophthalmol. 2014;157(6):1231–8. https://doi.org/10.1016/j.ajo.2014.01.033.

    CrossRef  PubMed  Google Scholar 

  71. Helenius J, Arsava EM, Goldstein JN, et al. Concurrent acute brain infarcts in patients with monocular visual loss. Ann Neurol. 2012;72(2):286–93. https://doi.org/10.1002/ana.23597.

    CrossRef  PubMed  PubMed Central  Google Scholar 

  72. Biousse V, Nahab F, Newman NJ. Management of acute retinal ischemia: follow the guidelines! Ophthalmology. 2018;125:1597–607. https://doi.org/10.1016/j.ophtha.2018.03.054.

    CrossRef  PubMed  Google Scholar 

  73. Streifler JY, Benavente OR, Hachinski VC, et al. The risk of stroke in patients with first-ever retinal vs hemispheric transient ischemic attacks and high-grade carotid stenosis. Arch Neurol. 1995;52(3):246–9. https://doi.org/10.1001/archneur.1995.00540270034016.

    CAS  CrossRef  PubMed  Google Scholar 

  74. Rothwell PM, Giles MF, Chandratheva A, et al. Effect of urgent treatment of transient ischaemic attack and minor stroke on early recurrent stroke (EXPRESS study): a prospective population-based sequential comparison. Lancet. 2007;370(9596):1432–42. https://doi.org/10.1016/S0140-6736(07)61448-2.

    CrossRef  PubMed  Google Scholar 

  75. Lavallée PC, Meseguer E, Abboud H, et al. A transient ischaemic attack clinic with round-the-clock access (SOS-TIA): feasibility and effects. Lancet Neurol. 2007;6(11):953–60. https://doi.org/10.1016/S1474-4422(07)70248-X.

    CAS  CrossRef  PubMed  Google Scholar 

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  1. Gavin Herbert Eye Institute, University of California, Irvine, Irvine, CA, USA

    David Merriott, Steven Carter & Lilangi S. Ediriwickrema

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  1. Division of Neuro-Ophthalmology Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA

    MD Amanda D. Henderson

  2. Division of Neuro-Ophthalmology Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA

    MD Andrew R. Carey

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Merriott, D., Carter, S., Ediriwickrema, L.S. (2021). Transient Monocular Vision Loss. In: Henderson, A.D., Carey, A.R. (eds) Controversies in Neuro-Ophthalmic Management. Springer, Cham. https://doi.org/10.1007/978-3-030-74103-7_17

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