Sudden painless loss of vision may occasionally be caused by an 'eye stroke'. These typically occur when a small clot (an embolism) blocks an artery supplying the retina (the nerve tissue that lines the back of the eye).
Management and Treatment
Medications to reduce pressure in your eye or to dissolve the blood clot. Laser treatment to close up leaking blood vessels. Massaging the closed eye. Paracentesis, which involves using a needle to take fluid from your eye to relieve pressure.
Visual recovery from a blocked retinal blood vessel (commonly called an eye stroke) is variable and depends on many factors. It is difficult to accurately predict visual recovery and unfortunately many people suffer some degree of permanent visual loss.
An eye stroke is a medical emergency that requires urgent attention. If you or a loved one are experiencing sudden, painless vision change or vision loss in one eye, seek immediate care.
Keep in mind that the blood circulation to the retina is the same circulation that flows to the front of the brain, so eye strokes and brain strokes are connected in that way. Also, eye strokes are a significant risk factor for experiencing a brain stroke.
Stroke: Sometimes eye doctors can detect blood vessel blockages in the back of the eye, which pose a high stroke risk. A regular vision exam can help detect a stroke before it happens, especially in older individuals.
Causes of Eye Stroke
Although an eye stroke can occur from a total blockage of a blood vessel that feeds the optic nerve, it is more commonly caused by a lack of pressure or perfusion of the tissue. Blood pressure may change relative to the eye pressure and the normal flow of blood is reduced.
They can start to die within minutes or hours. An eye stroke is an emergency. If you don't get treated right away, you can damage your vision permanently.
Some people will experience symptoms such as headache, numbness or tingling several days before they have a serious stroke. One study found that 43% of stroke patients experienced mini-stroke symptoms up to a week before they had a major stroke.
Eye strokes are related to but different from cerebral or brain strokes – the so-called normal strokes we think of when someone says stroke. Eye strokes are similar in that they result from reduced blood flow, Browne explains. In addition, cerebral strokes "can also result from rupture and bleeding from an artery."
Seeing occasional flashing lights in your eyes usually isn't an issue. But repeated flashes in the forms of bright spots, streaks of lightening, or shooting stars in the corner of your eye can indicate a serious medical condition.
Examples in stroke survivors include rapid eye jiggling (nystagmus), eye turning (strabismus), eye tracking control issues (oculomotor dysfunction) and double vision (diplopia). Your depth perception, balance, coordination and overall vision may be affected by these.
Call 9-1-1 immediately if any of these signs of stroke appear: Numbness or weakness in the face, arm, or leg; Confusion or trouble speaking or understanding speech; Trouble seeing in one or both eyes; Trouble walking, dizziness, or problems with balance; severe headache with no known cause.
Blurred vision or partial/complete vision loss may be signs that you are having a stroke. Sudden vision changes could also have other causes. If you have a sudden change in your vision, you should see a doctor and have it checked out.
Stress can cause the heart to work harder, increase blood pressure, and increase sugar and fat levels in the blood. These things, in turn, can increase the risk of clots forming and travelling to the heart or brain, causing a heart attack or stroke.
Common causes of blurry vision in one eye include refractive errors, infections, migraine, and cataracts. Most causes of blurry vision are not serious. However, it is important to consult a doctor about sudden or persistent blurry vision, as it could be a symptom of a condition that requires treatment.
“Brief vision changes in one eye can be a sign of an oncoming stroke,” says Chief of Neuro-Ophthalmology, Robert C. Sergott, MD of Wills Eye. “If temporary blurriness or reduced vision is due to an oncoming stroke, you may only have a few hours to get emergency care before a stroke occurs.”
Floaters usually happen because of normal changes in your eyes. As you age, tiny strands of your vitreous (the gel-like fluid that fills your eye) stick together and cast shadows on your retina (the light-sensitive layer of tissue at the back of the eye). Those shadows appear as floaters.
The Stroke Association has highlighted the role that optometrists can play in spotting the signs of a stroke. Sudden loss or blurring of vision can be a symptom of a transient ischaemic attack (TIA), sometimes known as a mini-stroke.
In fact, they can even spot brain tumours before there are any noticeable symptoms, making routine eye tests a good choice if possible. During an eye test, an optician can identify a brain tumour by either noticing a swelling of the optic disc or seeing pressure on the optic nerve.
One of the first signs of a Transient Ischaemic Attack (TIA) or stroke can be visual disturbance - loss of vision in one area of the visual field which can be experienced as not being able to see on one side. Another problem can be seeing double.
What are some of the neurological causes of vision changes or loss? There are many neurological causes of vision loss or change including stroke, a transient ischemic attack (TIA, also known as a mini-stroke) or multiple sclerosis.
CONCLUSIONS: Individuals with retinal vascular occlusions have a higher prevalence of dementia. However, this association is secondary to shared underlying risk factors in this population, such as older age and stroke.