American journal of ophthalmology
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To report the "salt and pepper"(SP) eye pain as a herald symptom of pontine ischemia. ⋯ Impending pontine ischemia is an important differential diagnosis in patients with acute ocular pain. Prompt neurovascular evaluation and treatment may avoid devastating brainstem infarcts that cause death or long-term disability, particularly in patients with basilar artery occlusive disease.