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Controversies in Neuro-Ophthalmic Management pp 189–196Cite as

Transient Binocular Vision Loss

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Abstract

Transient binocular vision loss (TBVL) may be caused by neurologic and ophthalmologic phenomena, ranging from benign etiologies such as migraine to potentially vision-threatening etiologies such as stroke, giant cell arteritis, or diseases of elevated intracranial pressure. The ability to recognize clinical signs and symptoms of malignant etiologies of TBVL is vital to prevent permanent visual consequences or even death. In this chapter, we discuss the various etiologies of TBVL and suggest how to recognize the clinical signs and symptoms of benign versus malignant causes that may require a time-sensitive evaluation.

Keywords

  • Transient binocular vision loss (TBVL)
  • Amaurosis fugax
  • Giant cell arteritis (GCA)
  • Stroke
  • Transient ischemic attack (TIA)

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References

  1. Thurtell MJ. Transient visual loss. Int Ophthalmol Clin. 2009;49(3):147–66. https://doi.org/10.1097/IIO.0b013e3181a8d41f.

    CrossRef  PubMed  Google Scholar 

  2. Tandon A, Dinkin M. Transient visual loss. Int Ophthalmol Clin. 2019;59(3):83–98. https://doi.org/10.1097/IIO.0000000000000275.

    CrossRef  PubMed  Google Scholar 

  3. Pula JH, Kwan K, Yuen CA, Kattah JC. Update on the evaluation of transient vision loss. Clin Ophthalmol Auckl NZ. 2016;10:297–303. https://doi.org/10.2147/OPTH.S94971.

    CrossRef  Google Scholar 

  4. Ji R, Schwamm LH, Pervez MA, Singhal AB. Ischemic stroke and transient ischemic attack in young adults: risk factors, diagnostic yield, neuroimaging, and thrombolysis. JAMA Neurol. 2013;70(1):51–7. https://doi.org/10.1001/jamaneurol.2013.575.

    CrossRef  PubMed  Google Scholar 

  5. Lavallée PC, Leila S, Julien L, et al. Clinical significance of isolated atypical transient symptoms in a cohort with transient ischemic attack. Stroke. 2017;48(6):1495–500. https://doi.org/10.1161/STROKEAHA.117.016743.

    CrossRef  PubMed  Google Scholar 

  6. Krasnianski M, Bau V, Neudecker S, Lindner A, Zierz S. Isolated bilateral blindness as the sole manifestation of transient ischaemic attacks. Acta Ophthalmol Scand. 2006;84(3):415–8. https://doi.org/10.1111/j.1600-0420.2006.00635.x. PMID: 16704710.

    CrossRef  PubMed  Google Scholar 

  7. Staykov D, Schwab S. Posterior reversible encephalopathy syndrome. J Intensive Care Med. 2012;27(1):11–24. https://doi.org/10.1177/0885066610393634.

    CrossRef  PubMed  Google Scholar 

  8. Guerriero S, Ciracì L, Centoducati T, et al. Bilateral visual loss as presenting symptom of posterior reversible encephalopathy syndrome in a patient with HIV/tuberculosis coinfection: a case report. Case Rep Ophthalmol Med. 2012;2012:850176. https://doi.org/10.1155/2012/850176.

    CAS  CrossRef  PubMed  PubMed Central  Google Scholar 

  9. Chou MC, Lee CY, Chao SC. Temporary visual loss due to posterior reversible encephalopathy syndrome in the case of an end-stage renal disease patient. Neuroophthalmology. 2017;42(1):35–9. https://doi.org/10.1080/01658107.2017.1322109. PMID: 29467807; PMCID: PMC5812712.

  10. Panayiotopoulos CP. Elementary visual hallucinations, blindness, and headache in idiopathic occipital epilepsy: differentiation from migraine. J Neurol Neurosurg Psychiatry. 1999;66(4):536–40. https://doi.org/10.1136/jnnp.66.4.536.

    CAS  CrossRef  PubMed  PubMed Central  Google Scholar 

  11. Zhang J, Foroozan R. Optic disc edema from papilledema. Int Ophthalmol Clin. 2014;54(1):13–26. https://doi.org/10.1097/IIO.0000000000000006.

    CrossRef  PubMed  Google Scholar 

  12. Wall M, Kupersmith MJ, Kieburtz KD, et al. The idiopathic intracranial hypertension treatment trial: clinical profile at baseline. JAMA Neurol. 2014;71(6):693–701. https://doi.org/10.1001/jamaneurol.2014.133.

    CrossRef  PubMed  PubMed Central  Google Scholar 

  13. Sadun AA, Currie JN, Lessell S. Transient visual obscurations with elevated optic discs. Ann Neurol. 1984;16(4):489–94. https://doi.org/10.1002/ana.410160410.

    CAS  CrossRef  PubMed  Google Scholar 

  14. Takkar A, Goyal MK, Bansal R, Lal V. Clinical and neuro-ophthalmologic predictors of visual outcome in idiopathic intracranial hypertension. Neuroophthalmology. 2018;42(4):201–8. Published 2018 Jan 9. https://doi.org/10.1080/01658107.2017.1400570.

  15. Otlivanchik O, Liberman AL. Migraine as a stroke mimic and as a stroke chameleon. Curr Pain Headache Rep. 2019;23(9):63. https://doi.org/10.1007/s11916-019-0801-1.

    CrossRef  PubMed  Google Scholar 

  16. Pfadenhauer K. Bilateral loss of vision in temporal arteriitis--a preventable condition? Versicherungsmedizin. 2014;66(4):193–7.

    CAS  PubMed  Google Scholar 

  17. Chen JJ, Leavitt JA, Fang C, Crowson CS, Matteson EL, Warrington KJ. Evaluating the incidence of arteritic ischemic optic neuropathy and other causes of vision loss from giant cell arteritis. Ophthalmology. 2016;123(9):1999–2003. https://doi.org/10.1016/j.ophtha.2016.05.008.

    CrossRef  PubMed  Google Scholar 

  18. Hayreh SS, Podhajsky PA, Zimmerman B. Ocular manifestations of giant cell arteritis. Am J Ophthalmol. 1998;125(4):509–20. https://doi.org/10.1016/s0002-9394(99)80192-5.

    CAS  CrossRef  PubMed  Google Scholar 

  19. Jonasson F, Cullen JF, Elton RA. Temporal arteritis. A 14-year epidemiological, clinical and prognostic study. Scott Med J. 1979;24(2):111–7. https://doi.org/10.1177/003693307902400203.

    CAS  CrossRef  PubMed  Google Scholar 

  20. Alshamrani A, Almousa A, Almulhim A, et al. Prevalence and risk factors of dry eye symptoms in a Saudi Arabian population. Middle East Afr J Ophthalmol. 2017;24(2):67–73. https://doi.org/10.4103/meajo.MEAJO_281_16.

    CrossRef  PubMed  PubMed Central  Google Scholar 

  21. Prum BEJ, Herndon LWJ, Moroi SE, et al. Primary angle closure Preferred Practice Pattern(®) guidelines. Ophthalmology. 2016;123(1):1–P40. https://doi.org/10.1016/j.ophtha.2015.10.049.

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Authors and Affiliations

  1. Department of Ophthalmology and Visual Sciences, Truhlsen Eye Institute, Omaha, NE, USA

    Santi S. Karnam & Amrita-Amanda D. Vuppala

  2. Department of Neurological Sciences, University of Nebraska Medical Center, Omaha, NE, USA

    Amrita-Amanda D. Vuppala

Authors
  1. Santi S. Karnam
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  2. Amrita-Amanda D. Vuppala
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Editor information

Editors and Affiliations

  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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Karnam, S.S., Vuppala, AA.D. (2021). Transient Binocular 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_18

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  • DOI: https://doi.org/10.1007/978-3-030-74103-7_18

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