Does a clear ophthalmic exam rule out temporal arteritis or aneurysm as cause of visual problems/other unilateral symptoms? the doctor said "sounds vascular" afterward but didn't elaborate. very worried.

No: Temporal arteritis is a diagnosis proven or disproven by a temporal artery biopsy. Other tests or labs may point toward it, but a biopsy is definitive. Treatment is long term high dose steroids. You need a ct, mri, or angiogram to identify an aneurysm. Talk with your doctor about a neurologist consultation.

No: Temporal arthritis not ruled out by eye exam. Need blood work and possibly mri.