Transient monocular blindness
Symptoms include the sudden loss of vision in one eye. This usually only lasts seconds but may last several minutes. Some patients describe the loss of vision as a gray or black shade coming down over their eye.
Tests include a complete eye and neurological exam. In some cases, an eye exam will reveal a bright spot where the clot is blocking the retinal artery. A carotid ultrasound or magnetic resonance angiography (MRA) scan should be done to evaluate a blockage in the carotid artery.
Routine blood tests such as cholesterol and blood sugar (glucose) should be done to check your risk for atherosclerosis, which increases with high cholesterol and diabetes.
Zivin JA. Hemorrhagic cerebrovascular disease. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 432.
Goldstein LB. Prevention and management of stroke. In: Libby P, Bonow RO, Mann DL, Zipes DP, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 8th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 58.
Adams RJ, Albers G, Alberts MJ, Benavente O, Furie K, Goldstein LB, et al. Update to the AHA/ASA recommendations for the prevention of stroke in patients with stroke and transient ischemic attack. Stroke. 2008 May;39(5):1647-52. Epub 2008 Mar 5.
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