LOSS OF VISION

Question 1

Retinal artery occlusion DDx:

4

Answer 1

1. Retinal vein occlusion.
2. Acute angle-closure glaucoma.
3. Retinal detachment.
4. Temporal arteritis.

Question 2

Retinal artery occlusion workup:

7

Answer 2

1. Fluorescein angiogram.
2. Echocardiography.
3. Doppler US—carotid.
4. Intraocular tonometry.
5. ESR.
6. Temporal artery biopsy.
7. CBC.

Question 3

Key Physical Exam Steps for Vision Loss

Answer 3

Vital signs
HEENT: Assess sclera, EOM, Fields of vision, Pupillary dilation, Funduscopic exam
Neuro exam
CV exam

Question 4

Key History for Vision Loss

Answer 4

Acute or chronic
Ability to see light
Associated sx: eye pain, discharge, itching, tearing, photophobia, redness, headache, weakness, numbness, floaters, sparks
H/o: cardiac, rheumatic, thrombotic, autoimmune, or neuro disorders
Jaw claudication
Medications
Trauma