Amaurosis fugax
Facts
:
Caused by retinal emboli from the ipsilateral carotid artery
May be warning sign for an impending stroke
History / PE
:
Transient, PAINLESS, monocular vision loss ("
curtain falling down
")
Diagnosis
:
Zones of whitened, edematous retina (ophthalmoscopy)
Cholesterol particles (
Hollenhorst bodies
)
Duplex ultrasound of the neck
Treatment
:
Atherosclerosis management
Associated With
:
Atherosclerosis
Cardiovascular disease
HTN
Differential Diagnosis
:
Central retinal artery occlusion
Central retinal vein occlusion
Vitreous hemorrhage
(hard to visualize fundus)
August 4th 2010
Categories
Neurology
Ophthalmology
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