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Acute Bilateral Blindness
Authors:Bradley W. Hoover MD  MAJ MC USA   Lawrence B. Stack MD
Affiliation:Joint Military Medical Centers, Brooke Army Medical Center, Fort Sam Houston, TX, Department of Emergency Medicine;Vanderbilt University Medical Center, Nashville, TN, Department of Emergency Medicine
Abstract:Acute bilateral blindness is an emergent condition that may signal life-threatening disease. This article details an emergency medicine approach to the patient with acute bilateral blindness, and reports a case of an elderly woman whose sole presenting complaint was acute loss of vision. She was ultimately diagnosed as having pulmonary embolism. The approach focuses on identification of life-threatening disease processes, while differentiating between ocular. psychogenic, and cortical etiologies.
Keywords:blindness    vision    cortical blindness    bilateral blindness    neurology    pulmonary embolism    case report
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