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Transient vision loss: a neuro-ophthalmic approach to localizing the diagnosis
Published in Expert Review of Ophthalmology, 2018
Helen Chung, Jodie M. Burton, Fiona E. Costello
Patients with ‘visual snow’ often compare their perceptual disturbances to viewing a badly tuned analog television [39]. More specifically, affected individuals describe a multitude of tiny dots in the entire visual field, often flickering between black and white. Symptoms of visual snow tend to be continuous (not transient) and persist whether the eyes are open or closed [39]. Yet, many patients with visual snow report other transient visual symptoms, including: palinopsia, exaggerated entoptic phenomena (floaters, blue field entoptic phenomenon, spontaneous photopsia), photophobia, and nyctalopia (impaired night vision), which may recover acutely, subacutely, or chronically over time [3].