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Recurrent Transient Visual Loss After Deep Sclerectomy
Arch Ophthalmol. 2001;119:1213-1215.
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Recurrent transient visual loss in the elderly is mostly associated
with cardiovascular disorders. Other causes include giant cell arteritis,
migraine, increased intracranial pressure, orbital mass, and idiopathy. We
describe a patient with unusual recurrent transient visual loss after deep
sclerectomy with collagen implant (DSCI).
Report of a Case
A 75-year-old woman was referred for investigation of possible amaurosis
fugax. She complained of recurrent painless blurred vision in her left eye
for the past 6 months. Her medical history was relevant for common migraine
and systemic hypertension. Systemic medications included losartan potassium,
hydrochlorothiazide, lorazepam, carvedilol, and aspirin. Severe bilateral
glaucoma necessitated trabeculectomy in the right eye in 1994 and DSCI in
the left eye in 1996. Both procedures were uneventful.
The episodes of visual loss in the left eye occurred on average once
a week, lasted up to 24 hours, and affected her ability to read. Some episodes
occurred after performing gymnastic exercises, after bending . . . [Full Text of this Article]
Comment
Corresponding author: François-Xavier Borruat, MD, Hôpital
Ophtalmique Jules Gonin, Avenue de France 15, CH-1004 Lausanne, Switzerland
(e-mail: fborruat@hola.hospvd.ch).
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