A 71-year-old woman with decreased vision, nyctalopia, and peripheral vision loss

Rash and loss of vision in a 60-year-old woman with systemic lupus erythematosus.

A 30-year-old woman with vision loss and painful eye movements.

A 30-year-old woman presented to the emergency department with a two-day history of pain in her right eye that was worse with eye movements. She also complained of blurred vision in the right eye. She had no float-ers or eye redness and did not have recent trauma. Her ocular and medical history were unremark-able, and she was not taking medications. On physical examination, the patient appeared...

Clinical Reasoning: A 58-year-old woman with loss of vision in her left eye.

SECTION 1 A 58-year-old woman developed painless visual loss in her left eye over several days. She described the vision in her left eye as “similar to looking through a dirty screen door.” She denied double vision and eye pain but reported frontal throbbing headaches associated with nausea over the preceding months. Two weeks before presentation, she had several days of nausea and vomiting tha...

47-Year-old woman with spells of slurred speech, blurred vision, and loss of consciousness.

A 47-year-old woman presented with a 1-year history of spells characterized by slurring of speech, visual blurring, and on 2 occasions, loss of consciousness occurring 2 to 4 hours after meals and lasting 5 to 30 minutes. The spells were unrelated to fasting or physical activity. She also had milder spells of tremulousness, diaphoresis, and weakness occurring initially every other week but prog...

A 65-year-old man with transient monocular vision loss.

What are the possible causes of the vision loss in this patient? Transient monocular vision loss, previously known as amaurosis fugax, has numerous causes. These include thromboembolic events (e.g., valvular heart disease and atherosclerosis of the carotid artery), hypoperfusion (e.g., stenosis of the carotid artery and ocular ischemic syndrome), ocular causes (e.g., impending or partial occlus...