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May 1974

Macula-Sparing Monocular Blackouts: Clinical and Pathologic Investigations of Intermittent Choroidal Vascular Insufficiency in a Case of Periarteritis Nodosa

Author Affiliations

San Francisco
From the Department of Ophthalmology, Pacific Medical Center, the Neuro-ophthalmology Unit and the Ophthalmic Pathology Laboratory, University of California, San Francisco.

Arch Ophthalmol. 1974;91(5):367-370. doi:10.1001/archopht.1974.03900060379006

Episodic monocular constriction of the visual field sparing central vision occurred repeatedly, involved either eye, and lasted several minutes in a man with fatal periarteritis nodosa. Histologic study of the orbital and ocular vasculature showed inflammatory involvement of the arterial supply to the choroid. The highly distinctive transient ischemic attacks were attributed to intermittent choroidal vascular insufficiency. The preservation of central vision was attributed to features of the choroidal vascular supply that favor macular function.

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