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Photo Essay
November 1999

Vasospastic Amaurosis Fugax

Arch Ophthalmol. 1999;117(11):1568-1569. doi:10.1001/archopht.117.11.1568

A 57-YEAR-OLD woman with a history of hypertension had a 1-month history of episodic vision loss in her right eye lasting 5 to 10 minutes. The events typically began with flashing lights and then rapidly progressed to a loss of form vision. Between events, the vision in the right eye was slightly blurred. Her medications included enalapril and estrogen. Visual acuities were 20/30 OD and 20/20 OS. Color vision was slightly reduced in the right eye. Her neuro-ophthalmic examination was otherwise normal.