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Correspondence
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Volume 348:1609-1610 April 17, 2003 Number 16
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Video Reconstruction of Vasospastic Transient Monocular Blindness

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To the Editor: The differential diagnosis of transient monocular blindness includes embolism, hypercoagulability, hemodynamic changes, papilledema, vasculitis, and vasospasm. Although it has been recognized for 150 years, only four clinicians have photographically documented retinal vasospasm.1,2,3,4 We describe a patient in whom sequential photographs were taken in order to show the dynamics of the retinal vasculature during transient monocular blindness due to vasospasm.

A 25-year-old man presented with a three-day history of recurrent transient monocular blindness in the left eye, with the daily frequency increasing from 3 to 20 attacks. Each episode started with graying in the nasal quadrant and progressed . . . [Full Text of this Article]



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