Sudden Changes in Vision Demand Urgent Attention
Sudden loss of part or all of one's vision, though rare, is extremely serious, and is usually a symptom of a far greater problem.
Symptoms
What constitutes sudden vision loss? It does not necessarily have to be complete loss of vision. It could be a partial loss of vision, or a blurring of the visual field. In some cases the affected area might just be the periphery, and often the vision loss only affects one eye. In other cases, the vision loss may appear as a gray splotch that blocks sight. Sometimes the loss of vision might only last a few moments. In other cases, the impairment can last minutes or even hours, or the rest of your life.
Causes
Sudden vision loss is usually attributable to ischemia, or a reduction of the amount of oxygen and nutrients to the tissues of the eyes, resulting in temporary or permanent damage to the retina. It is like a stroke of the eye. Ischemia has several causes and can appear in different forms. It may indicate uncontrolled or high blood pressure. A treatable condition that may save your vision and may abort a stroke.
Amaurosis fugax (‘fleeting blindness”) lasts from a few moments to several minutes, and disrupts the peripheral vision, before progressing inwards, much like fade out in a movie. With this condition, other symptoms include temporary loss of feeling on one side of the body, and impaired speech. Though it bears many striking similarities, it in and of itself does not constitute a stroke, but rather is a strong indicator that one is at risk of suffering a stroke, since amaurosis results from reduced blood flow through the arteries that lead to the eyes. This form of vision loss is most common in adults 50 years of age and older.
An ocular migraine may cause transient wavy vision or a blind spot in one or both eyes. It may last 15 to 30 minutes. The visual aura may or may not be followed by a headache. This transient loss of vision can be quite disturbing.
A more permanent cause of sudden vision loss is giant cell arteritis. This is an auto-immune disorder in which the blood vessels, especially those around the eyes, become inflamed and swollend reducing blood flow. The symptoms are similar to but in some cases not as abrupt as those that accompany amaurosis. However, vision loss due to giant cell arteritis may be permanent and irreversible.
Vision loss can also occur as a result of increased cranial pressure, or among those who suffer frequent migraines or hypertension. In a worst case scenario, loss of vision can also be the result of a tumor.
Recently, sudden vision loss has also been connected to impotence drugs such as Viagra, Cialis and Levitra. Although the number of documented cases of vision loss in users of these drugs is extremely rare, it is nonetheless a serious occurrence. Some users of these drugs have suffered partial or total vision loss. Anyone who has considered taking the abovementioned, or any other male performance enhancers, would be wise to be screened for a "disk at risk" by an ophthalmologist.
Treatment
If you have experienced sudden loss of some or all vision in one or both eyes call a doctor immediately! Don't wait. Get an appointment with an ophthalmologist immediately. If it is not possible to find an ophthalmologist in a timely matter, go to the emergency room. Vision loss can be indicative of much more serious issues that it is vitally important to diagnose quickly and treat.
Thompson Eye Clinic