Loss of vision Flashcards
1
Q
Key history in loss of vision
A
Acute vs. chronic Progression Ability to see light Associated symptoms (eye pain, discharge, itching, tearing, photophobia, redness, HA, weakness, numbness) Hx of cardiac, rheumatic, thrombotic, autoimmune or neurological disorders Jaw claudication Medications Trauma
2
Q
Key physical exam in loss of vision
A
Vital signs
CV, HEENT, fundoscopic and neurologic exams
3
Q
73 yo M with acute loss of vision in L eye
+ palpitations
+ SOB
+ Hx of a. fib. and cataracts
+ no eye pain, discharge, redness or photophobia
+ no HA, weakness or numbness
A
Retinal artery occlusion
Retinal vein occlusion
Acute angle-closure glaucoma
Fluorescein angiogram, echocardiography, doppler US - carotid, intraocular tonometry, ESR, temporal artery biopsy, CBC
