Sudden loss of vision in one eye lasting for 5 minutes?
The patient has hypertension, diabetes, and chronic kidney disease, and was recently hospitalized for COVID-19.
They have been experiencing headaches and brain fog.
During the hospitalization, they received antibiotics and antipyretics.
Currently, the family is monitoring the patient at home.
Should they take him to the emergency department if necessary?
Shan Shan, 30~39 year old female. Ask Date: 2023/09/01
Dr. Gao Pilin reply Ophthalmology
Hello: It could possibly be a case of retinal detachment.
For safety reasons, it is advisable to visit the emergency department for an examination.
Reply Date: 2023/09/01
More Info
Sudden vision loss, even if it lasts only for a few minutes, is a concerning symptom that warrants immediate medical attention, especially in the context of your medical history. Given the patient's underlying conditions, including hypertension, diabetes, and kidney disease, as well as recent hospitalization for COVID-19, the situation becomes even more critical.
The sudden loss of vision can be attributed to various causes, some of which may be serious and require urgent intervention. Conditions such as retinal detachment, central retinal artery occlusion, or transient ischemic attacks (TIAs) can lead to temporary or permanent vision loss. In your case, the presence of headache and brain fog could suggest a neurological issue, which further emphasizes the need for prompt evaluation.
In the context of your medical history, the risk factors associated with hypertension and diabetes can lead to complications such as diabetic retinopathy or hypertensive retinopathy, both of which can cause sudden changes in vision. Additionally, kidney disease can contribute to systemic vascular issues, increasing the risk of ocular complications.
Given these factors, it is advisable for the patient to seek emergency care. An ophthalmologist or a neurologist should evaluate the patient to rule out any serious conditions that could lead to permanent vision loss. Diagnostic tests such as a fundoscopic examination, imaging studies (like an MRI or CT scan), and blood tests may be necessary to determine the underlying cause of the vision loss.
While it is possible that the vision loss could be related to less serious issues, such as ocular migraines or temporary visual disturbances, the potential for serious underlying conditions makes it imperative to err on the side of caution. The fact that the patient has been experiencing headaches and brain fog, combined with a history of significant medical issues, further supports the need for immediate medical evaluation.
In summary, sudden vision loss, particularly in a patient with multiple risk factors and recent health complications, should always be treated as a medical emergency. It is crucial to seek immediate care to ensure that any serious conditions are identified and treated promptly, thereby preserving vision and overall health.
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