BC Doctors of Optometry

What is a transient ischemic attack (TIA)?

A common cause of short-term vision loss is known as a transient ischemic attack. It is more commonly known as a TIA, or a mini-stroke and tends to occur most often in seniors. A TIA may only last a matter of minutes but it should not be ignored since roughly 15% of patients who survive their first TIA or mini-stroke will experience another one within one year.

What increases the chance of a TIA?

Factors that increase the chance of ischemic attacks are:

  • high blood pressure, 
  • high cholesterol, 
  • smoking, 
  • IV drug use,
  • cocaine use,
  • excessive alcohol,
  • use of oral contraceptives and 
  • lack of exercise causing obesity.

What are the symptoms of TIA?

A TIA is caused by lowered blood flow to the brain or eyes for a short period of time due to a small blood clot.

Symptoms of a TIA may include one or more of the following: 

  • painless loss of vision of one or both eyes,
  • weakness and tingling on one side of the body,
  • difficulty speaking, 
  • or vertigo (dizziness). 

When the blood flow returns, usually in a matter of minutes, the symptoms go away. A TIA does not often last for more than 24 hours. With a stroke, the blood flow does not return which leads to permanent damage.

What are the treatments for TIA?

Patients suffering from a TIA need to see a doctor as soon as possible, who can order tests. If you experience a loss of vision, your doctor of optometry can perform an exam to rule out any other possible causes of vision loss. 

Initial treatment of a transient ischemic attack usually involves taking blood thinners prescribed by a doctor. The long-term treatment of a TIA depends on the cause of the attack.

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