In my opinion vision loss is not due to  partial PVD  Perhaps, it was revealed by OCT by chance and the patient has an another cause responsible for vision loss -transient ischemic attack

Thanks for your opinion, Ms Shahsuvayan

Dear Dr Rocha:

So far, I have read two paper relate to 

your concerns.

1.SYMPTOMATIC DYNAMIC VMTS

   INDUCED BY NEAR VISION.

  Griffin and.....Retina Cases and report

  Summer 2016-vol 10-issue 3 p 214-

2. CENTRAL VISUAL PHENOMENONA 

   AS CLUES TO VMTS IN PATIENT

   WITH NORMAL FUNDUS. 

SCARINCI, FABIO. Retinal Cases and re

port..Fall 2016. Vol 10 issue 4 p 361-

additionally, we need to rule out

cases of VITREO PAPILAR TRACTION 

SYND as was described by Katz and

Hoyt many years ago in young myopic 

patients. 

I hope this information help you. 

Best, Juan Yepez M.  

Thanks a lot, Dr Yepez.

I agree with dr Marianne. At its early stage, as that documented in the Oct provided by dr Rocha, vitreoretinal traction- induced visual symptoms are limited to visual distortion (metamorphopsiae) and mild va loss (even in the case of vitreopapillary traction as described by Kats). The same applies to the case reports described by Scalinci. Transitory visual loss, especially if it is complete, is synominous of "amaurosis", that is temporary loss of signal processing at the level of the visual pathway or, more often, of the visual cortex. In your patient I' d perform vascular neck ecodoppler, visual field, and a screening for trombophilic diseases.

Espero que todo isso ajude resolver a sua dúvida.

Carlo Aleci, MD, Ph.D.

Thanks very much, Dr Aleci.