Visual loss and blindness Flashcards
What are causes of sudden visual loss?
Vascular aetiology Retinal detachment Age related macular degeneration Closed angle glaucoma Optic neuritis Stroke
What are types of vascular aetiology?
Occlusion of Retinal circulation
optic nerve head circulation
Haemorrhage from abnormal blood vessels and retinal tear
What are symptoms of Central Retinal Artery Occlusion?
Sudden visual loss
Painless
What are signs of Central Retinal Artery Occlusion?
RAPD - relative afferent pupil defect
Pale oedematous retina, thread like retinal vessels
How do you treat CRAO if the patient presents within 24 hours?
Ocular message
convert CRAO to BRAO
What are vascular managements of CRAO?
Carotid doppler - find the source of emboli
Assess and manage risk factors
Name two other varients of retinal artery occlusion
branch retinal artery occlusion
Amaurosis fugax
What are symptoms of transient crao? (Amaurosis fugax)
Transient painless visual loss
Like a curtain closing down
Lasts 5 mins with full recovery
What should be done with transient crao?
Immediate referral to TIA clinic
Aspirin
What are systemic causes of Central retinal vein occlusion?
Virchow’s Triad:
Artherosclerosis
Hypertension
Hyperviscosity
What are symptoms for CRVO?
Sudden visual loss
Moderate to severe visual loss
What are signs for CRVO?
Retinal haemorrhages
Dilated tortuous veins
Disc swelling and macular swelling
Can laser treatment help with CRVO?
Yes, to help prevent complications
What is a treatment can be used for CRVO?
Anti-VEGF
What is Ischaemic Optic Neuropathy?
Occlusion of optic nerve head circulation
What can cause ischaemia of optic nerve head?
Giant cell arthritis
Atherosclerosis