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Eye Stroke – Causes, Symptoms & Treatment

Reviewed by - Dr. Namita C Anagol

Dr. Namita C Anagol (MBBS, DO, DNB) is a highly experienced Ophthalmologist/Eye Surgeon with 31 years of practice. She specializes in the management of conditions such as Glaucoma, performing Cataract Surgery, and treating UVEA and various conditions requiring LASIK Eye Surgery.

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A sudden loss of vision in one eye can be alarming, it comes without warning and without pain. What appears to be a simple case of blurred vision or a dark spot could, in reality, be an eye stroke. It is a condition that demands urgent medical attention. Much like a stroke in the brain, an eye stroke occurs when blood flow to the retina or optic nerve is interrupted, depriving the eye of oxygen and nutrients. Timely diagnosis and treatment are vital to preserve sight and prevent permanent damage. Understanding its causes, symptoms, and treatment options can make the difference between recovery and irreversible vision loss.

What is an Eye Stroke?

An eye stroke happens when blood flow to the light-sensitive retina is blocked or critically reduced. Doctors often use the terms retinal artery occlusion for artery blockages and retinal vein occlusion for vein blockages. Less commonly, reduced blood supply to the optic nerve, called anterior ischaemic optic neuropathy, is grouped under eye stroke in everyday language. It is a medical emergency because every minute matters for preserving vision.

Eye Stroke

Types of Eye Strokes

Central Retinal Artery Occlusion (CRAO)

CRAO is a sudden blockage of the main artery to the retina. It usually causes painless, severe loss of vision in one eye.

Branch Retinal Artery Occlusion (BRAO)

BRAO affects a smaller artery branch. Vision loss tends to affect part of the visual field, depending on which branch is blocked.

Retinal Vein Occlusion (RVO)

RVO occurs when a vein that drains blood from the retina becomes blocked. It can be central or branch and may lead to complications such as macular swelling and higher eye pressure.

Causes of Eye Stroke

Common eye stroke causes include:

  • Emboli from plaques or clots that travel from the heart or carotid arteries and lodge in a retinal vessel.
  • Thrombosis, where blood clots form inside the vessel itself.
  • Vessel narrowing from atherosclerosis or inflammation, and systemic conditions like hypertension, diabetes, and abnormal lipids.
  • Some cases relate to optic-nerve ischaemia, especially in arteritic disease, where inflammation reduces blood flow.

Symptoms of Eye Stroke

Eye stroke symptoms are typically sudden and painless in one eye:

  • Blurred vision or a dramatic drop in clarity
  • A dark curtain, blind spots, or loss of part of the visual field
  • Eye floaters or flashes in some cases
  • Occasional double vision or light sensitivity, more often with vein occlusions

Any abrupt change like this needs urgent care.

How is an Eye Stroke Diagnosed?

Your ophthalmologist will prioritise timing and a complete evaluation. Tests may include:

  • Dilated fundus examination and slit-lamp evaluation
  • Optical Coherence Tomography (OCT) to assess retinal layers and macula
  • Fluorescein angiography or OCT-angiography to track retinal blood flow
  • Visual field testing to map defects
  • Systemic workup in collaboration with physicians, for blood pressure, sugar, lipids, clotting profile, carotid Doppler, ECG or echocardiogram when indicated

Early diagnosis helps guide targeted eye stroke treatment and reduces the risk of further vascular events.

Eye Stroke Treatment

Management depends on the type, severity, and how quickly you reach care.

  • Immediate measures for CRAO may include ocular first-aid steps performed by specialists and rapid systemic evaluation. Evidence for vision restoration remains limited, which is why speed to care and identifying underlying risks are crucial.
  • For RVO and macular swelling, doctors may offer anti-VEGF injections or lasers to treat complications and protect remaining vision.
  • For arteritic optic-nerve ischaemia (for example, in giant cell arteritis), prompt corticosteroids are often the treatment of choice to prevent further damage.

Your Physician will also treat systemic contributors like high blood pressure, diabetes, or high cholesterol alongside eye-directed care.

Prevention of Eye Stroke

You can lower your risk by:

  • Controlling blood pressure, blood sugar, and cholesterol
  • Stopping smoking and staying active
  • Keeping regular eye check-ups, especially if you live with glaucoma or vascular risk factors
  • Knowing the red-flag symptoms and acting fast if they appear

Be Cautious With Eye Stroke

An eye stroke can threaten sight in hours. Recognising symptoms early, getting a same-day evaluation, and addressing the underlying eye stroke causes are central to preserving vision. At Nethradhama, retina and neuro-ophthalmology teams work closely with physicians to deliver timely diagnosis, evidence-based eye stroke treatment, and long-term risk management for patients across India. If you notice sudden blurred vision, a dark patch, or vision loss in one eye, seek urgent care. At Nethradhama, we rise up to the challenge and deliver quality medical assistance.

FAQs on Eye Stroke

There is no single “cure,” since eye stroke describes several conditions. Some treatments can improve outcomes or prevent complications, particularly in vein occlusions or arteritic optic-nerve ischaemia. In artery occlusions, proven vision-restoring options are limited. So you need to get medical attention immediately for the best chance to protect your sight.

An eye stroke mainly affects vision and is not usually fatal by itself. However, it can signal cardiovascular risk. Some studies highlight a higher risk of brain stroke soon after retinal artery occlusion, while other research suggests the risk may be lower than once thought. You still need a prompt medical assessment to prevent systemic events.

Recovery varies. Some people regain part of their vision, especially when complications like macular swelling are treated in RVO. Others may have permanent deficits, particularly after severe artery occlusions or delayed presentation. Early diagnosis and follow-up are important.

Immediately. Sudden, painless vision loss or a “curtain” over vision in one eye should be treated as an emergency. The sooner you are examined, the better your chances of preserving sight.

Stress alone is not a proven direct cause. Eye strokes are usually linked to vascular problems like clots, vessel narrowing, or inflammation, with risk factors such as high blood pressure, diabetes, cholesterol disorders, and glaucoma. Healthy stress management supports overall heart and vascular health. But controlling medical risks is more important.

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