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Retinal migraine: caught in the act
  1. E Doyle,
  2. B J Vote,
  3. A G Casswell
  1. Sussex Eye Hospital, Eastern Road, Brighton BN2 5BF, UK
  1. Correspondence to: Mr Eddie Doyle Sussex Eye Hospital, Eastern Road, Brighton BN2 5BF, UK; EdRachiebtinternet.com

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A 22 year old male dancer presented via his optometrist following an episode of transient visual loss in his left eye. He described a slow blurring and darkening of the vision of the left eye with a similarly gradual return to normal, the whole episode lasting 10 minutes. He described similar episodes every 2–3 months for the previous 3 years with no associated migrainous aura or headache, and exercise was not a trigger. Figure 1 shows images taken before, during, and 10 minutes after his presenting episode (see figure legend for description).

Figure 1

(A) Left eye taken at routine optometrist appointment 1 month before presenting episode; normal appearance of disc, vessels, and macula. (B) During the episode of visual loss, constriction of both arteries and veins is seen with macular pallor and a central cherry red spot and slight disc pallor. (C) 10 minutes after the previous …

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