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Retinal artery obstruction, migraine and patent foramen ovale
  1. Q Mohamed1,
  2. O Ormerod2,
  3. S M Downes3
  1. 1Oxford Eye Hospital, Radcliffe Infirmary, Oxford, UK
  2. 2Department of Cardiology, John Radcliffe Hospital, Headington, Oxford
  3. 3Oxford Eye Hospital, Radcliffe Infirmary
  1. Correspondence to: Q Mohamed Oxford Eye Hospital, Woodstock Road, Oxford OX1 1HY, UK; QureshM{at}yahoo.com

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It is well known that migraine is associated with both stroke and retinal artery obstruction, and evolving literature suggests that both migraine and embolic stroke may be due to paradoxical embolism from a patent foramen ovale (PFO).1–3 We present a 24-year-old man with localised retinal artery obstruction, migraine with aura, and PFO. Early diagnosis and treatment of these cases may decrease the risk of future embolic events and stroke as well as helping with migraine symptoms.

Case report

A 24-year-old Caucasian man presented with sudden-onset painless scotoma in the right eye. We found no preceding aura, headache or nausea and he was otherwise well. He had a history of migraine with visual auras from the age of 16 years. His mother also had migraine. There was no other ocular, medical or family history. He was not on …

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