https://wikem.org/w/index.php?action=history&feed=atom&title=Visual_disturbance 2026-04-17T07:53:32Z Revision history for this page on the wiki MediaWiki 1.38.2 https://wikem.org/w/index.php?title=Visual_disturbance&diff=389535&oldid=prev 2026-03-22T09:42:45Z

<p>Create chief complaint page for visual disturbance</p> <p><b>New page</b></p><div>Visual disturbances include sudden vision loss, blurred vision, double vision, floaters, flashing lights, and visual field deficits.<br /> <br /> ==Differential Diagnosis==<br /> ===Sudden Painless Vision Loss===<br /> *[[Central retinal artery occlusion]] (CRAO) - ophthalmologic emergency<br /> *[[Central retinal vein occlusion]] (CRVO)<br /> *Vitreous hemorrhage<br /> *[[Retinal detachment]]<br /> *Optic neuritis<br /> *[[Stroke]] (posterior circulation)<br /> <br /> ===Sudden Painful Vision Loss===<br /> *[[Acute angle-closure glaucoma]]<br /> *[[Optic neuritis]]<br /> *[[Temporal arteritis]] (giant cell arteritis)<br /> *[[Endophthalmitis]]<br /> *[[Corneal ulcer]]<br /> <br /> ===Gradual Vision Change===<br /> *Cataracts<br /> *Open-angle glaucoma<br /> *Diabetic retinopathy<br /> *Macular degeneration<br /> <br /> ===Double Vision (Diplopia)===<br /> *Cranial nerve palsy (III, IV, VI)<br /> *[[Orbital fracture]]<br /> *[[Myasthenia gravis]]<br /> *[[Stroke]]<br /> *[[Thyroid eye disease]]<br /> <br /> ===Floaters/Flashes===<br /> *Posterior vitreous detachment<br /> *[[Retinal detachment]] (photopsia with new floaters)<br /> *Vitreous hemorrhage<br /> <br /> ==Evaluation==<br /> *Visual acuity (each eye separately)<br /> *Pupil exam (RAPD suggests optic nerve pathology)<br /> *Extraocular movements<br /> *Visual fields by confrontation<br /> *Slit lamp exam and fundoscopy<br /> *IOP measurement if glaucoma suspected<br /> *ESR/CRP if temporal arteritis suspected (age &gt;50 with headache)<br /> *CT/CTA for acute stroke with visual symptoms<br /> <br /> ==Management==<br /> *CRAO: ophthalmology emergency consultation, time-sensitive<br /> *Acute angle-closure: timolol, pilocarpine, acetazolamide, emergent ophthalmology<br /> *Temporal arteritis: high-dose IV methylprednisolone, do not delay for biopsy<br /> *Retinal detachment: urgent ophthalmology referral<br /> *Stroke: follow [[Stroke (main)]] protocol<br /> <br /> ==Disposition==<br /> *Admit for stroke, temporal arteritis, or endophthalmitis<br /> *Emergent ophthalmology for CRAO, acute angle-closure, retinal detachment<br /> *Urgent ophthalmology follow-up (24-48h) for CRVO, vitreous hemorrhage<br /> *Routine follow-up for stable floaters with normal exam<br /> <br /> ==See Also==<br /> *[[Acute angle-closure glaucoma]]<br /> *[[Ocular and periocular diagnoses]]<br /> *[[Temporal arteritis]]<br /> *[[Retinal detachment]]<br /> <br /> ==References==<br /> &lt;references/&gt;<br /> <br /> [[Category:Symptoms]]<br /> [[Category:Ophthalmology]]</div>

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