
What Causes Jagged Lines In The Field Of Vision?

Visual evoked potential/Ophthalmological evaluation.
Detailed Answer:
Hi XXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.
The symptoms you are describing appear to be of a scotoma that improved after sometime.Common causes can be-
1)High blood pressure
2)Migraine
3)Mini stroke or transient ischemic attack
4)Demyelination
Normal MRI has essentially ruled out demyelination and stroke.You need to be screened for high blood pressure and managed,if found so.
Further,you should get funduscopic evaluation done by an ophthalmologist.Also,Visual evoked potential(VEP) should be done,which may contribute towards the diagnosis.
Graves disease should not be having a direct relation with scotoma. ESR as 25 should not be a cause of concern.
Though,positive ANA can be an indicator of vasculitis.However,Longitudinal observation is needed and if such an episode occurs again,evaluation for vasculitis should be done as well,as a part of the diagnostic algorithm.
If you have some further questions,I shall be glad to have you in follow-up.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

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