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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Visual Disturbances, Frontal Headache, Blurriness. Scheduled Hysteroscope. Taking Primolut. Next?

Hi, I am currently taking 20mg Primolut twice daily to prevent bleeding for a hysterscope in 6 days. I have a history of Antiphospholipid Syndrome . I am experiencing visual disturbance in that occasional blurriness, flashing lights on two occasions and now have a mild frontal headache . Should I present to A&E or wait and see?
Mon, 25 Feb 2013
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Ophthalmologist 's  Response
Antiphospholipid syndrome is characterised by increased hypercoagulability leading to various retinal complications mainly retinal arteritis, vein and artery occlusion, ischemic optic neuropathy, transient loss of vision called amaurosis fugax and even diplopia or double vision. The Primolut you are on also increases coagulation and may worsen the existing scenario. Since you are experiencing visual symptoms, this is a precursor to an impending arterial or venous occlusion. Consult your doctor and mention the visual complaints. Primolut may have to be stopped in such a situation to prevent any retinal vascular damage.
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Visual Disturbances, Frontal Headache, Blurriness. Scheduled Hysteroscope. Taking Primolut. Next?

Antiphospholipid syndrome is characterised by increased hypercoagulability leading to various retinal complications mainly retinal arteritis, vein and artery occlusion, ischemic optic neuropathy, transient loss of vision called amaurosis fugax and even diplopia or double vision. The Primolut you are on also increases coagulation and may worsen the existing scenario. Since you are experiencing visual symptoms, this is a precursor to an impending arterial or venous occlusion. Consult your doctor and mention the visual complaints. Primolut may have to be stopped in such a situation to prevent any retinal vascular damage.