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What Causes Blurry Vision And Temporary Vision Loss In Left Eye?

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Posted on Fri, 2 Jan 2015
Question: Hi hope can advise. Whilst driving 2 weeks ago I had blurred vision all of a sudden then what I belive loss of vision in left eye. This lasted for about a minute. I was unable to see gp so went to optician whom told me eye sight was fine but reffrerd me to hospital eye clinic because had left field vision loss. The hospital also said the same and reffered me for mri scan. This happened fortnight ago and gp surgery said have not got results yet and advised to speak with gp in weeks time. In mean time i am worried and very confused. I am 44 year old female and couple months ago started getting parathesia in left fingers and toes in which prescrebef 150mg pregabalin bd. I also have new onset of urinary incontenence full which after urodynamics on 30mg propiverine. I assume mri normal but not sure where or whats next.
doctor
Answered by Dr. Olsi Taka (36 minutes later)
Brief Answer:
MRI report is essential.

Detailed Answer:
Hello. I read your question carefully and I understand your concern. It must be unsettling to not have had an answer to your problem yet.

It seems that you have a limitation of the vision in the left side of your visual field. Even if you haven't noted it, since it has been found both at the eye clinic as well as at the hospital there is such involvement which you might have missed because it affected only your peripheral vision on the left, so it wasn't an obstacle in your everyday functioning.

Since the involvement of the eye itself has been excluded then it means it is an issue involving the part of the brain which receives and analyses the data from our eyes. So there is a suspicion of an impairment which has taken place at the right side of your brain. That would also be consistent with the paresthesia you report in your left limbs which also correspond to the right side of your brain. There's a chance your urinary incontinence is also related.

The type of lesion involved could be many things (cerebro-vascular conditions, tumor, demielinating conditions, infection etc) and since the brain is surrounded by the skull we can visualize it only by imaging tests like the MRI.

So you must understand that the MRI report is by all means required, to establish a more accurate diagnosis, further possible lab tests and treatment.

I am at your disposal for any further questions, whether now or after you provide the MRI report.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Olsi Taka (34 minutes later)
Hi thankyou for your reply I shall get back to you once receiving mri report. I suspect ylu might be right that other symptoms are connected. However my gp seems disinterested and get feeling he does not think related. I thought if they had found something on mri the gp sould have results by now. I also confused the hospital optician told me i was to have a contrast mri but in mri dept. they told me it wasnt necessary. Would it make a difference?
doctor
Answered by Dr. Olsi Taka (23 minutes later)
Brief Answer:
Contrast is recommended.

Detailed Answer:
Thanks for getting back to me.

As long as it was only the urinary problems and the paresthesia I can understand your gp not sounding alarmed. Urinary infections are pretty common in women and paresthesias are a little subjective and not so specific a sign, meaning can have many possible explanation, often dedicated to anxiety. But if on formal eye testing there was found visual field involvement then it should be taken seriously until proven otherwise in my opinion.

As for the question on whether contrast examination is necessary I believe it is. I am not saying the non-contrast MRI would have no value, it does especially if MRA (MR angiography) is done as well, depends also on its findings, but for some diagnoses contrast provides additional information.

I hope to have been of help.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Olsi Taka

Neurologist

Practicing since :2004

Answered : 3673 Questions

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What Causes Blurry Vision And Temporary Vision Loss In Left Eye?

Brief Answer: MRI report is essential. Detailed Answer: Hello. I read your question carefully and I understand your concern. It must be unsettling to not have had an answer to your problem yet. It seems that you have a limitation of the vision in the left side of your visual field. Even if you haven't noted it, since it has been found both at the eye clinic as well as at the hospital there is such involvement which you might have missed because it affected only your peripheral vision on the left, so it wasn't an obstacle in your everyday functioning. Since the involvement of the eye itself has been excluded then it means it is an issue involving the part of the brain which receives and analyses the data from our eyes. So there is a suspicion of an impairment which has taken place at the right side of your brain. That would also be consistent with the paresthesia you report in your left limbs which also correspond to the right side of your brain. There's a chance your urinary incontinence is also related. The type of lesion involved could be many things (cerebro-vascular conditions, tumor, demielinating conditions, infection etc) and since the brain is surrounded by the skull we can visualize it only by imaging tests like the MRI. So you must understand that the MRI report is by all means required, to establish a more accurate diagnosis, further possible lab tests and treatment. I am at your disposal for any further questions, whether now or after you provide the MRI report.