A 68-year-old woman with atrial fibrillation and hypertension presents with sudden onset of painless monocular vision loss that resolves within 10 min...

Question

A 68-year-old woman with atrial fibrillation and hypertension presents with sudden onset of painless monocular vision loss that resolves within 10 minutes. Examination is normal. According to Canadian stroke secondary prevention guidance, what is the most appropriate next step?

Accepted Answer

Urgent stroke/TIA clinic or emergency assessment within 24 hours for vascular imaging and secondary prevention

Answer

Reassure that this was benign and no further work-up is needed

Answer

Arrange non-urgent ophthalmology follow-up only

Answer

Start topical eye drops and review in 6 months

Answer

Advise that no changes to her anticoagulation are required and no investigation is needed

ca-mccqe1 MCQ (SBA): Transient ischaemic attack

A 68-year-old woman with atrial fibrillation and hypertension presents with sudden onset of painless monocular vision loss that resolves within 10 minutes. Examination is normal. According to Canadian stroke secondary prevention guidance, what is the most appropriate next step?