Which of the following findings should trigger an urgent referral to a cardiologist or neurologist?
A. History of bright flash of light followed by significantly blurred vision
B. History of transient and painless monocular loss of vision
C. History of monocular severe eye pain, blurred vision, and ciliary flush
D. All of the above
ANS: B
Amaurosis fugax is a monocular, transient loss of vision. It stems from transient ischemia of the retina and presents an important warning sign for impending stroke. Depending on the circumstances reported, the patient should be immediately referred to either a cardiovascular or neurological specialist.
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