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What Do Intermittent Visual Blurring With Dizziness Indicate?

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Posted on Fri, 13 Oct 2017
Question: about 1 to 2 times aweek in 1 eye the bottom 1/2 will darken and I cannot see for sometimes 60 to 90 seconds, it is like a shade is pulled over it, and more than one it is acompanied by dizzyness
doctor
Answered by Dr. Ishu Bishnoi (2 hours later)
Brief Answer:
Need more information

Detailed Answer:
Hi Mxx, thanks for asking from HCM.


I can understand your concern. You are experiencing sudden visual blurring and dizziness. I need to know more information about complaints to reach a differential diagnosis.

- Is there any membrane like structure on your eye? You can look at your eyes in the mirror.

- Is there any history of eye injury?

- Is there any pain in eye, redness and discharge?

- Is there any history of syncope, fall in BP, cerebrovascular disease?

- Is there any past history of diabetes?

Kindly provide me answers of above questions. I will guide you further.

Hope you will understand my point. If any doubt, do let me know.
Thanks. Take care,
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Ishu Bishnoi (12 hours later)
no to all of your questions
doctor
Answered by Dr. Ishu Bishnoi (26 minutes later)
Brief Answer:
Differential diagnosis, eye examination and investigations

Detailed Answer:
Hi Mxx, welcome back.


Thanks for providing me answers of my questions. As you don't have any history of syncope, diabetes mellitus, low BP and visible eye changes, it rules out

- Systemic cause like transient ischemic attack, CVA, diabetic retinopathy/neuropathy

- Eye injury/conjuctivitis/eye infection

You are most probably suffering from local eye pathology, e.g.

- retinal disease or partial retinal tear/detachment

- angiosperm of eye vessel

- orbital mass or retrobulbar mass

- less likely occipital lobe partial seizure, Arteritic anterior ischemic optic neuropathy (AION).

To confirm the cause, you should consult "ophthalmologist". He/she will examine your vision, local inspection of eye. Few investigations like

- Fundus examination
- Retinal evaluation with retinoscopy
- MRI of eye and orbit
- Angiography of eye vessels (fluorescein).

These investigations will rule out any organic cause which can cause temporary curtain like partial vision loss in your right eye. You can send me the reports for further guidance. If you have any doubts, do let me know. I will be happy to help you.

Thanks. Take care.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Ishu Bishnoi

Neurologist, Surgical

Practicing since :2007

Answered : 901 Questions

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What Do Intermittent Visual Blurring With Dizziness Indicate?

Brief Answer: Need more information Detailed Answer: Hi Mxx, thanks for asking from HCM. I can understand your concern. You are experiencing sudden visual blurring and dizziness. I need to know more information about complaints to reach a differential diagnosis. - Is there any membrane like structure on your eye? You can look at your eyes in the mirror. - Is there any history of eye injury? - Is there any pain in eye, redness and discharge? - Is there any history of syncope, fall in BP, cerebrovascular disease? - Is there any past history of diabetes? Kindly provide me answers of above questions. I will guide you further. Hope you will understand my point. If any doubt, do let me know. Thanks. Take care,