Amaurosis Fugax

Ophthalmology

Overview

Definition

Transient monocular vision loss ('fleeting blindness').

Epidemiology

Varies globally depending on genetics, environment, or exposure.

Etiology & Risk Factors

  • Retinal embolus (usually from carotid artery plaque).

Clinical Symptoms

  • Sudden 'curtain coming down' over one eye
  • lasting minutes
  • then resolving.

Clinical Approach

Diagnosis

  • Carotid ultrasound
  • Echocardiogram.

Management

  • Aspirin
  • Carotid endarterectomy (if indicated).

Complications

  • Impending Central Retinal Artery Occlusion or Stroke.