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Gail A. Bernard, MD; Jeffrey L. Bennett, MD, PhD
Denver, Colo

Arch Ophthalmol. 1999;117:1568-1569.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 57-YEAR-OLD woman with a history of hypertension had a 1-month history of episodic vision loss in her right eye lasting 5 to 10 minutes. The events typically began with flashing lights and then rapidly progressed to a loss of form vision. Between events, the vision in the right eye was slightly blurred. Her medications included enalapril and estrogen. Visual acuities were 20/30 OD and 20/20 OS. Color vision was slightly reduced in the right eye. Her neuro-ophthalmic examination was otherwise normal.

During her visit, the patient had an attack of amaurosis fugax. Her right pupil became slightly dilated and sluggishly reactive to light, and she developed a large afferent pupillary defect. Her visual acuity dropped to light perception, and ophthalmoscopy revealed marked segmental constriction of the retinal veins and sluggish flow in the retinal bed (Figure 1, A-C). . . . [Full Text of this Article]

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