{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:36:05Z","timestamp":1787016965496,"version":"build-2736575974"},"reference-count":15,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,1,23]]},"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:p>A 32-year-old doctor, who has a medical history of primary Raynaud\u2019s disease and previous scotomas, presented to eye clinic with sudden onset blurring of vision (infero-nasally) with no other associated symptoms. The patient had good visual acuity bilaterally (6\/6) and no anterior chamber activity or conjunctival hyperaemia. Findings consistent with a nerve fibre layer infarct were noted in the right eye, with unremarkable examination of the left eye. Optical coherence tomography (OCT) and optical coherence tomography angiography (OCTA) images were obtained, which showed an area of capillary shut down in keeping with a nerve fibre layer lesion. Previous literature pertaining to similar symptoms is sparse with symptoms such as migraines, epilepsy and visual loss being stated. This case provides further evidence of Raynaud\u2019s associated retinal artery spasm, with complete resolution at 4 weeks. We also demonstrate the accessibility of OCT and more importantly OCTA for investigation of sudden onset visual deficit.<\/jats:p>","DOI":"10.1136\/bcr-2020-239954","type":"journal-article","created":{"date-parts":[[2021,2,5]],"date-time":"2021-02-05T16:06:57Z","timestamp":1612541217000},"page":"e239954","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Sudden onset peripheral visual deficit secondary to retinal artery spasm in Raynaud\u2019s phenomenon"],"prefix":"10.1136","volume":"14","author":[{"given":"Yousuf","family":"Ansari","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Queen Elizabeth Hospital Birmingham,University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK"},{"name":"Department of Ophthalmology, Birmingham and Midland Eye Centre, Sandwell and West Birmingham Hospitals NHS trust,Birmingham, UK, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2186-1446","authenticated-orcid":false,"given":"Aditya Uday","family":"Kale","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Queen Elizabeth Hospital Birmingham,University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad O","family":"Tallouzi","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Birmingham and Midland Eye Centre, Sandwell and West Birmingham Hospitals NHS trust,Birmingham, UK, Birmingham, UK"},{"name":"Institute of Applied Health Research, University of Birmingham College of Medical and Dental Sciences, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avinash","family":"Manna","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Queen Elizabeth Hospital Birmingham,University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,2,5]]},"reference":[{"key":"2025082700035066000_14.2.e239954.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0889-857X(05)70300-8"},{"key":"2025082700035066000_14.2.e239954.2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1979.03630380067022"},{"key":"2025082700035066000_14.2.e239954.3","doi-asserted-by":"publisher","DOI":"10.1002\/art.20988"},{"key":"2025082700035066000_14.2.e239954.4","first-page":"123","article-title":"A review of Raynaud's disease","volume":"113","author":"Temprano","year":"2016","journal-title":"Mo Med"},{"key":"2025082700035066000_14.2.e239954.5","first-page":"420","article-title":"Ocular manifestations of Raynaud's disease","volume":"30","author":"Dunphy","year":"1932","journal-title":"Trans Am Ophthalmol Soc"},{"key":"2025082700035066000_14.2.e239954.6","doi-asserted-by":"crossref","DOI":"10.1001\/archopht.1938.00850130123014","article-title":"Raynaud\u2019s disease with intermittent spasm of the retinal artery and veins","volume":"19","author":"Carpenter","year":"1938","journal-title":"Arch Ophthal"},{"key":"2025082700035066000_14.2.e239954.7","doi-asserted-by":"crossref","unstructured":"Ennis H , Hughes M , Anderson ME . 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