A 68-year-old woman with a history of hypertension and diabetes presents with new-onset unilateral vision loss described as a curtain coming down over...

Question

A 68-year-old woman with a history of hypertension and diabetes presents with new-onset unilateral vision loss described as a curtain coming down over her right eye that resolved spontaneously after 15 minutes. Funduscopic exam is normal. What is the most appropriate next step in management?

Accepted Answer

Order carotid ultrasound and start antiplatelet therapy

Answer

Reassure the patient and schedule routine follow-up

Answer

Start high-dose systemic steroids immediately

Answer

Prescribe topical beta blockers

Answer

Refer for emergent retinal detachment surgery

us-abfm MCQ (SBA): Transient ischemic attack (amaurosis fugax)

A 68-year-old woman with a history of hypertension and diabetes presents with new-onset unilateral vision loss described as a curtain coming down over her right eye that resolved spontaneously after 15 minutes. Funduscopic exam is normal. What is the most appropriate next step in management?