Article Text

Download PDFPDF
Reminder of important clinical lesson
Sudden mono-ocular blindness with recurrent transient diplopia and ptosis in a middle-aged woman
  1. Vishal V Ramteke1,
  2. Yojana A Gokhale1,
  3. Paritosh A Kamdar2,
  4. Vashistha Maniar1,
  5. Makardhwaj Shrivastava1,
  6. Natasha Singh3,
  7. B A Krishna3
  1. 1Department of Medicine, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India
  2. 2Department of Ophthalmology, Jashem Eye Institute, Mumbai, Maharashtra, India
  3. 3Department of Nuclear Medicine, P D Hinduja National Hospital & Medical Research Centre, Mumbai, Maharashtra, India
  1. Correspondence to Makardhwaj Shrivastava, makar_in{at}


Sudden painless loss of vision is an ophthalmologic and a medical emergency resulting from various causes such as occlusion of retinal artery or vein, macular or vitreous haemorrhages, retinal detachment, and anterior and posterior ischaemic optic neuropathy. We report a 48-year-old woman presenting with right monocular blindness due to branch retinal artery occlusion whose vision recovered due to timely paracentesis coupled with treatment with adequate antiplatelet agents and anticoagulants. The patient had transient diplopia and ptosis despite adequate antiplatelet agents and anticoagulants. Thorough search for aetiology revealed the underlying cause to be aortoarteritis. Aortoarteritis is a rare disease, and ocular involvement occurs late in the disease. We review ophthalmologic manifestation of aortoarteritis and diagnostic utilities of various modalities for aortoarteritis.

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Competing interests None.

  • Patient consent Obtained.