Has anyone had distorted vision before other symptoms of TIA/stroke?

Posted by esque @esque, Sep 13, 2024

The first sign of a TIA for me was that my vision in the outside of my right eye was distorted. It looked like ripples of light and made it hard to see or read. This happened before face drooping and the inability to speak properly.
I am just wondering if it is a tell or precursor and if there is something I can do to stop it going further.
I would like to know others experiences as to what was the first thing you noticed right before or the beginning of a TIA or Stroke. Thanks!
The picture is one I added kind of similar to what I saw…but it was moving in ripples where the white areas are.

Interested in more discussions like this? Go to the Stroke & Cerebrovascular Diseases Support Group.

New to this area( am in discussions for PMR)Yesterday i was working in my yard and had something weird happen! My vision was jumping! Only lasted a few seconds but scared me I stopped what I was doing and went inside drank some water and ate a protein bar and called my eye Doc. She did lots of testing and found nothing wrong. She recommended follow up w my Family Doc and to get US of my neck. Also said it could be inner ear, or I might need to see a neurologist( I also am followed for a small menigioma!! Doc appt today🙏 and good luck to all☘️

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Profile picture for b13moore @b13moore

My symptoms were exactly the same but I never experienced any other physical symptoms so mine was not diagnosed immediately and I was discarged from ER with only a mild dose statin; within a week my vision deteriorated and I lost a great deal of depth perception. It has been extremely difficult for me to obtian medical help as most providers don't deal with the vision symptoms. Any advice is appreciated

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@b13moore
My experience was identical to yours. At the end of May, I experieced the distorted vision in only one eye; that night I researched the symptoms and decided I had had what was referred to as an "eye" stroke and immedicately drove myself to the ER. They did a CT scan and discharged me with low dose tatin and labeled it a TIA. Within the next week, I became disoriented, because I lost a great deal of depth perception. Because I was unable to obtain an appointment with a neurologist, I went back to the ER and after an MRI was diagnosed with a stroke in the occipital lobe. Like you, I have found it very difficult to obtain treatment because I have noone of the other standard stroke symptons; however, my vision has not restored itself although I am better in familiar settings. Another added barrier to treatment has been obtaining an appointment with a neruologist so I have no idea if the medications I am on are correct. They were prescribed by the ER doctors but I have little faith in them as after doing more research I realized they should have put me on anti-clotting medication. I am not on 40 mg of statin and Plavix (anti-clotting) 75 mg daily. My personal research indicates I will continue on these the full 3 month time frame. I have constant headaches, which is uncomfortable and frightening since the TIA was preceeded by a lingering head ache and now I cannot take other medications to relieve them. I would not describe my headaches as a migraine; they are just a continous dull ache.
Interested to know if others with this type of stroke are/were on the same medication protocol, if you recovered more vision, and what the time frame was? Any therapy regime that was helpful?

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My symptoms were exactly the same but I never experienced any other physical symptoms so mine was not diagnosed immediately and I was discarged from ER with only a mild dose statin; within a week my vision deteriorated and I lost a great deal of depth perception. It has been extremely difficult for me to obtian medical help as most providers don't deal with the vision symptoms. Any advice is appreciated

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Profile picture for kristyinoregon @kristyinoregon

Hello Zebra,
Wow, sounds like a very scary fall. So glad you didn’t get hurt, surprisingly. I have had the black when standing, accompanied by a heaviness or tightness that goes from the top of my head down into my chest. Lasts a minute or so, then fades gradually. I don’t fall, there is time to stop and steady myself. This happens daily. Hoping BP meds will help with this…. Just stepped up to next level on the dosing today.
Your “pixelation” and ER experience sounds very similar. It is frustrating that they are so quick to dismiss you. I do have a diagnosis of CLIPPERS which has caused lesions in my PONS. I am on Prednisone and Cellcept. I have also recently started taking blood pressure medication. Between side effects of CLIPPERS meds, new BP meds and the lesions in my PONS, it is very hard to know why my body is doing these days.
Do you have a diagnosis yet? Sorry if you already mentioned it in a previous post. So many posts, so many people. Kristy

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Hi @kristyinoregon
Yes, hard to keep track of everyone’s story. Sorry to hear about your diagnosis. I had to look it up. There are so many rare disorders.

I’ve had some low BP issues too caused by one of my cancer meds. It’s especially low when I’m in afib and I have to be careful when I first stand up and start walking. I’ve hugged a lot of walls and furniture. My fading vision and dizziness from that is completely different than the fugax and pixelation vision episodes. I have no doubt mine were TIAs as a result of having just been in afib each time which can create clots. I’ve discovered a major food trigger for me with afib and that’s tyramine so I’m hoping by avoiding those many many foods that I can avoid future afib episodes. So far so good.

Thanks for your response. Good luck with your battle. Rare disorders can be extra frustrating so I feel for you. I have some rare disorders myself. Blessings to you.

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Profile picture for Zebra @californiazebra

@kristyinoregon
Glad it wasn’t a stroke but a CT or MRI won’t pick up on a TIA unless it’s in progress.

With my first incident my vision became completely pixelated like yours and colored. Couldn’t see, so confusing, thought I was having a stroke, quickly did self-tests for stroke and then vision was suddenly normal within 30 seconds. No other symptoms. An NP friend convinced me to go to the ER because she feared I would have a stroke knowing about my afib. Waited 3 hours, busy ER, finally took me into a room like a closet and the doc said, let me save you time and money. You stood up too fast, you’re fine, go home. He was busy.

Well I was in the kitchen when it happened and it was nothing like things going black for two seconds from low BP and standing up too fast. That has happened a million times. I also was already standing when it happened.

After I got home from the ER, I was standing in my bedroom and suddenly just fell backwards. Not dizzy, not off balance, no warning, didn’t bend as I was falling, didn’t try to catch myself. I fell like a tree in the forest as if someone just flipped the off switch on me. No control. It was the weirdest thing. Luckily I didn’t hit the floor or hard furniture but fell back mostly into my recliner and just about broke it I landed so hard and fast. I thought, “Nice catch God!”

My neurologist suspected ocular migraine. I didn't make the afib connection till I had two more incidents. In hindsight, I believe the pixelation and falling were both TIAs post afib. Also, the short duration and sudden onset and ending are more indicative of a TIA than ocular migraine.

Good luck with your situation.

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Hello Zebra,
Wow, sounds like a very scary fall. So glad you didn’t get hurt, surprisingly. I have had the black when standing, accompanied by a heaviness or tightness that goes from the top of my head down into my chest. Lasts a minute or so, then fades gradually. I don’t fall, there is time to stop and steady myself. This happens daily. Hoping BP meds will help with this…. Just stepped up to next level on the dosing today.
Your “pixelation” and ER experience sounds very similar. It is frustrating that they are so quick to dismiss you. I do have a diagnosis of CLIPPERS which has caused lesions in my PONS. I am on Prednisone and Cellcept. I have also recently started taking blood pressure medication. Between side effects of CLIPPERS meds, new BP meds and the lesions in my PONS, it is very hard to know why my body is doing these days.
Do you have a diagnosis yet? Sorry if you already mentioned it in a previous post. So many posts, so many people. Kristy

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Profile picture for Zebra @californiazebra

@esque
Sorry to hear that. So scary. Is there something they can safely do to open up that M1 vessel? Stent?

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From what I found out the protocol is to give low dose aspirin and an anti platelet drug for three months post TIA. If it happens again while on that protocol then they would explore the possibility of a stent.
If it does not or you are past the three months then the protocol begins again. So now that I have finished the anti platelet I am again not eligible for stents, I believe.
If anyone know different…let me know.

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Profile picture for esque @esque

My TIA is from a severely stenosed M1 vessel not AFIB. They did see that on the CT scan. They suspected an ocular migraine but after the CT thought I might have had a clot that cleared once my blood pressure rose because I was scared once my face started to droop and I was unable to speak properly.
It happened again a few days ago but I am still on aspirin and was also taking aleve so it never went past the eye issues.

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@esque
Sorry to hear that. So scary. Is there something they can safely do to open up that M1 vessel? Stent?

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Profile picture for Zebra @californiazebra

@esque
Yes, I have had the distorted vision in one eye that was a retinal TIA and that was my only symptom. I've had 4 brief TIAs in the past couple years and two of them were distorted vision. One, like yours, was only in one eye when suddenly about a third of my vision field had a completely blurred out gray circle (imagine holding a dinner plate up to block part of your vision field) and no amount of blinking changed it. I was in a very busy Costco when it hit and it was very confusing and scary. I just had to walk to an empty aisle and wait it out. It was gone in about 2 minutes, no other symptoms. Back to normal. I saw a retinal specialist a week later (had a pre-set appt for something else) who told me it was amaurosis fugax and a TIA. She was very concerned. I already suspected AF and TIA because it was TIA #4. I had also done my vision research before seeing her. All four TIAs happened immediately after having afib for about 30 hours so that was the big clue for me. Afib is known to increase stroke risk.

Amaurosis Fugax (sudden temporary vision loss)/TIA - good explanation from a neurologist


Amaurosis Fugax (sudden temporary vision loss/TIA - explanation from vision center
https://www.youtube.com/watch
I don't think you can stop it once that starts, but I would immediately sit down if possible so you don't fall if other symptoms occur. Push your alert button if you have one (maybe you should get one) or call out immediately to anyone nearby in case it turns into a full blown stroke. How long did your TIA last?

The big question is why is it happening to you in the first place. I have no doubt my TIAs have all been a result of afib. I've had a brain MRI, carotid tests, head/neck MRA, cardiac tests, etc. that were normal. Your best bet is to figure out the cause and fix that to prevent future episodes. My focus is on preventing afib. Best of luck in figuring this all out. Blessings to you!

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My TIA is from a severely stenosed M1 vessel not AFIB. They did see that on the CT scan. They suspected an ocular migraine but after the CT thought I might have had a clot that cleared once my blood pressure rose because I was scared once my face started to droop and I was unable to speak properly.
It happened again a few days ago but I am still on aspirin and was also taking aleve so it never went past the eye issues.

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Profile picture for kristyinoregon @kristyinoregon

Yes, I have.
I was initially diagnosed with CLIPPERS Syndrome on the second of May. However, the medications for it have not lead to any improvement of the lesions in my PONS. So, now the docs will look, again, at differential diagnosis.
That being said, I had visual distortions, all very brief, 30 seconds to 1.5 mins. This looked like everything slanting to the left, then everything looked pixelated and all the little pieces kind of vibrated… then by a min later it stopped and I felt a bit foggy headed and tired. Some with CLIPPERS get double vision (diplopia) and some get oscillopsia (kind of like I described, though it probably varies). Of course, CLIPPERS is not the only syndrome/disease that have vision changes of distortions in their list of symptoms. While I do not yet know what my diagnosis is, I can tell you that my MRI reports have not once indicated signs of stroke.
Kristy in Oregon.

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@kristyinoregon
Glad it wasn’t a stroke but a CT or MRI won’t pick up on a TIA unless it’s in progress.

With my first incident my vision became completely pixelated like yours and colored. Couldn’t see, so confusing, thought I was having a stroke, quickly did self-tests for stroke and then vision was suddenly normal within 30 seconds. No other symptoms. An NP friend convinced me to go to the ER because she feared I would have a stroke knowing about my afib. Waited 3 hours, busy ER, finally took me into a room like a closet and the doc said, let me save you time and money. You stood up too fast, you’re fine, go home. He was busy.

Well I was in the kitchen when it happened and it was nothing like things going black for two seconds from low BP and standing up too fast. That has happened a million times. I also was already standing when it happened.

After I got home from the ER, I was standing in my bedroom and suddenly just fell backwards. Not dizzy, not off balance, no warning, didn’t bend as I was falling, didn’t try to catch myself. I fell like a tree in the forest as if someone just flipped the off switch on me. No control. It was the weirdest thing. Luckily I didn’t hit the floor or hard furniture but fell back mostly into my recliner and just about broke it I landed so hard and fast. I thought, “Nice catch God!”

My neurologist suspected ocular migraine. I didn't make the afib connection till I had two more incidents. In hindsight, I believe the pixelation and falling were both TIAs post afib. Also, the short duration and sudden onset and ending are more indicative of a TIA than ocular migraine.

Good luck with your situation.

REPLY

Yes, I have.
I was initially diagnosed with CLIPPERS Syndrome on the second of May. However, the medications for it have not lead to any improvement of the lesions in my PONS. So, now the docs will look, again, at differential diagnosis.
That being said, I had visual distortions, all very brief, 30 seconds to 1.5 mins. This looked like everything slanting to the left, then everything looked pixelated and all the little pieces kind of vibrated… then by a min later it stopped and I felt a bit foggy headed and tired. Some with CLIPPERS get double vision (diplopia) and some get oscillopsia (kind of like I described, though it probably varies). Of course, CLIPPERS is not the only syndrome/disease that have vision changes of distortions in their list of symptoms. While I do not yet know what my diagnosis is, I can tell you that my MRI reports have not once indicated signs of stroke.
Kristy in Oregon.

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