Which systemic conditions are associated with transient vision loss (TVL)?

Updated: May 21, 2019
  • Author: Andrew J Tatham, MD, MBA, FRCOphth, FEBO, FRCS(Ed); Chief Editor: Andrew G Lee, MD  more...
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Answer

Answer

Transient vision loss is a symptom rather than a diagnosis. It may be a manifestation of a number of different ophthalmic and systemic conditions, [1] including the following:

  • Thromboembolism
  • Hypoperfusion (eg, hypotension, cardiac arrhythmias, anemia, heart failure)
  • Increased plasma viscosity (eg, leukemia, lymphoma)
  • Angiospasm
  • Atherosclerotic and arteritic cerebrovascular disease
  • Compressive neuropathies (eg, tumors, Graves orbitopathy)
  • Orbital apex mass or retrobulbar tumors (gaze-evoked transient vision loss)
  • Epileptic seizures (occipital lobe seizures)
  • Sexual intercourse

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