Amaurosis Fugax

Question 1

What is amaurosis fugax

Answer 1

Transient monocular blindness
1. Transient ischemic attack of the retina (and optic nerve)
2. Pain less, unilateral

Question 2

What are some RF of amaurosis fugax

Answer 2

1. Atherosclerotic disease
2. Giant cell arteritis
3. SLE

Question 3

What are the signs of amaurosis fugax

Answer 3

Rapid fading of vision in one or both eyes, like curtain passing vertically across the visual field

Question 4

What is the treatment of amaurosis fugax

Answer 4

1. ASA ASAP
2. Cardiovascular evaluation
   *identify the source of the embolus
3. Carotid endarectomy or angioplasty with stenting if high-grade CAS