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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).
(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 …
Footnotes
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The authors have no commercial interests in any products mentioned in this article.