A complete history is essential for determining whether the underlying etiology of transient vision loss is from an ischemic or a nonischemic condition that originates in the eye or elsewhere. Ischemic transient vision loss constitutes a transient ischemic attack and requires a full work-up for ischemic stroke. If carotid artery stenosis is found, early intervention may improve the clinical outcome. This article highlights the diagnostic considerations in the evaluation of patients with transient vision loss.