Blackout: Understanding transient vision loss

Aust J Gen Pract. 2021 Mar;50(3):136-140. doi: 10.31128/AJGP-03-20-5271.

Abstract

Background: Transient vision loss may indicate underlying disease of the eye, optic nerve, orbit, brain or heart. Detailed history-taking followed by a complete ocular and neurological examination is therefore a crucial part of any consultation.

Objective: It is important to determine whether a patient with transient vision loss can be reassured or requires urgent referral for further investigation. This review examines monocular and binocular transient vision loss and provides a structured approach to the examination of a patient with transient vision loss. The aim of this article is to provide clinicians with confidence when encountering these patients.

Discussion: Transient vision loss can imply serious underlying pathology; therefore, accurate history-taking and astute observation are paramount. This review discusses the differential diagnosis of monocular and binocular transient vision loss and the relevant localising features of each.

Publication types

  • Review

MeSH terms

  • Diagnosis, Differential
  • Humans
  • Vision Disorders / diagnosis*