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What Causes Transient Vision Loss?

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Posted on Fri, 1 Jul 2016
Question: my husband just had suden vision loss in his right eye only lasted for a few minutes but came on suddenly. went away as fast as came, 15 min later said was real fuzzy
he is 57 and does does wear a defibrillator. his heart is harden. on top[ half also has high blood pressure , and mircular degeneration

doctor
Answered by Dr. Benard Shehu (26 minutes later)
Brief Answer:
Following advice...

Detailed Answer:
Hi and thank you for asking!
I read your query and understood your concerns.

What has happened to your husband most probably may be related to transient ischemic attack due to arterial embolism.

Since your husband suffer from heart disease (and has an implanted defibrillator), it's a common finding to have transient ischemic attack caused by embolism of cranial arteries. Embolism on the eye arteries may be manifested with transient unilateral vision loss.

transient ischemic attack may be a warning sign for more severe ischemic attacks (especially stroke). This is why I strongly recommend to send him to ER to exclude any life-threatening situation.

Hope this will be of help!
Wish you health!
Dr. Shehu

This is why I strongly
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Benard Shehu (57 minutes later)
went to er.
did ct. scan nothing irregular other than right sinus had lot of inflammation
blood pressure was elevated 195/187
on call doc made him a appointment with local eye doc tomorrow morning.
lasted over 1 hour, starting to clear up now.
every 90 days the internet performs interrogations on his heart.
he has had his device since 12/04/13 , and have indicated that the device is working 11% of the time.
their was no ekg done what do you think
is this more common the longer he has had the defibrillator ,.
also noticed site where defibrillator is little enlarged
what can long term
effects be if not diagnosed soon.
are the chances of him developing transcendentalism attacks more common the longer the defibrillator has been in.
or the more the device is working how common is it ?
can they be prevented?
what could outcome be if not diagnosed properly?
doctor
Answered by Dr. Benard Shehu (5 hours later)
Brief Answer:
Following advice...

Detailed Answer:
Hi back,

The ct scan may exclude stroke events (more exactly hemorrhagic stroke) but it doesn't exclude transient ischemic attack. Head MRI is the most accurate examination and is the golden standard on the evaluation of his case.

Also since he has cardiac defibrillator the ER doctor should have done him an ECG to exclude arrhythmia.

Moreover he has had a hypertensive crisis and if he was my patient I would have hospitalized him for a closure monitoring and control of his BP, HR. This will help to prevent future attacks and stroke. This is why hospitalization is the best way to treat him on this occasion.

Since his defibrillator has more than two years (and it works 11% of the time) and the risk of transient ischemic attack (mini stroke) increase with the increasing of years the device has put in (also with the increase of working hours).

Hope this will be of help!
Wish him all the best!
Dr. Shehu
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Benard Shehu

Cardiologist

Practicing since :2004

Answered : 2257 Questions

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What Causes Transient Vision Loss?

Brief Answer: Following advice... Detailed Answer: Hi and thank you for asking! I read your query and understood your concerns. What has happened to your husband most probably may be related to transient ischemic attack due to arterial embolism. Since your husband suffer from heart disease (and has an implanted defibrillator), it's a common finding to have transient ischemic attack caused by embolism of cranial arteries. Embolism on the eye arteries may be manifested with transient unilateral vision loss. transient ischemic attack may be a warning sign for more severe ischemic attacks (especially stroke). This is why I strongly recommend to send him to ER to exclude any life-threatening situation. Hope this will be of help! Wish you health! Dr. Shehu This is why I strongly