Associated symptoms

The accompanying symptoms depend on the cause of the scotoma and cannot be named generally. If the scotoma is an expression of a stroke, it can also lead to double vision, hemiplegia of the body and speech disorders. If the scotoma is caused by glaucoma, the patient will have severe symptoms or no symptoms at all, depending on the type of glaucoma.

These include sudden, dull or oppressive, severe pain in the diseased eye, the equilateral half of the face, the teeth or even the abdomen. In addition, dizziness, nausea, malaise and vomiting may occur. Therefore, glaucoma can easily be confused with a migraine attack at first.

Typically, the heart of glaucoma patients beats too slowly (bradycardic) or irregularly (arhythmic). Scotomas that occur as a result of stress can be accompanied by a variety of symptoms. The classic symptoms are an increase in heart rate and blood pressure, muscle tension with resulting headaches and back pain, difficulty falling asleep or sleeping through the night, concentration difficulties or a weakened immune system and thus an increased susceptibility to disease.

Therapy of the scotoma

The treatment is as varied as the various causes of scotoma. In the case of a scotoma, one cannot treat it symptomatically, but has to eliminate the causative clinical picture. The goal of glaucoma therapy is to reduce the increased intraocular pressure with medication.

This may be followed by surgery or laser treatment. During this procedure, a small piece of the iris is removed. This creates an artificial drain between the anterior and posterior chamber of the eye, through which the aqueous humor can drain off.

In the case of an ischemic stroke, lysis therapy is started immediately to dissolve the thrombus that is blocking the vessel. In the case of a hemorrhagic stroke, the patient is elevated to the upper body in order to facilitate blood drainage from the head, mannitol is given to lower the increased intracranial pressure, and a neurosurgical procedure is performed if there is no improvement.In order to treat stress as a trigger for scotoma, the patient must find out what causes this stress and try to avoid or at least reduce contact with this source. Psychological help can also be supportive and useful.

Learn how to reduce stress. In the treatment of migraine, drugs are used to relieve nausea and pain. In recent years, triptans have proven to be particularly effective. These are not painkillers in the classic sense, but are specifically effective in migraine attacks.

Measures in case of a stroke
Therapy of a stroke