Sudden onset peripheral visual deficit secondary to retinal artery spasm in Raynaud's phenomenon.

Ansari, Yousuf, Kale, Aditya Uday, Tallouzi, Mohammad O and Manna, Avinash (2021) Sudden onset peripheral visual deficit secondary to retinal artery spasm in Raynaud's phenomenon. BMJ case reports, 14 (2). ISSN 1757-790X. This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs

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Official URL: http://casereports.bmj.com/

Abstract

A 32-year-old doctor, who has a medical history of primary Raynaud's disease and previous scotomas, presented to eye clinic with sudden onset blurring of vision (infero-nasally) with no other associated symptoms. The patient had good visual acuity bilaterally (6/6) and no anterior chamber activity or conjunctival hyperaemia. Findings consistent with a nerve fibre layer infarct were noted in the right eye, with unremarkable examination of the left eye. Optical coherence tomography (OCT) and optical coherence tomography angiography (OCTA) images were obtained, which showed an area of capillary shut down in keeping with a nerve fibre layer lesion. Previous literature pertaining to similar symptoms is sparse with symptoms such as migraines, epilepsy and visual loss being stated. This case provides further evidence of Raynaud's associated retinal artery spasm, with complete resolution at 4 weeks. We also demonstrate the accessibility of OCT and more importantly OCTA for investigation of sudden onset visual deficit.

Item Type: Article
Additional Information: This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs
Subjects: WW Eyes. Ophthalmology
Divisions: Ambulatory Care > Ophthalmology
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Depositing User: Jamie Edgar
Date Deposited: 17 Feb 2021 12:02
Last Modified: 17 Feb 2021 12:02
URI: http://www.repository.uhblibrary.co.uk/id/eprint/3982

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