Medical history (history of illness) represents an important component in the diagnosis of acute visual loss (sudden loss of vision). Family history What is the general health of your relatives? Are there any diseases in your family that are common? Are there any hereditary diseases in your family? Social history What is your profession? Are … Sudden Loss of Vision: Medical History
Eyes and ocular appendages (H00-H59). Ablatio retinae* * (Amotio retinae; retinal detachment) – acute, painless, unilateral loss of visual acuity; especially in elderly patients, retinal detachment is then suspected. Note: A vitreous hemorrhage can also cause acute unilateral visual deterioration.In central retinal artery occlusion (CAD), the unilateral visual loss typically sets in abruptly – in … Sudden Loss of Vision: Or something else? Differential Diagnosis
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin and mucous membranes Eyes Auscultation (listening) of the heart and carotids / carotid arteries [if apoplexy (stroke) or retinal artery occlusion is suspected]. Ophthalmic examination – examination of … Sudden Loss of Vision: Examination
2nd order laboratory parameters – depending on the results of the history, physical examination, etc. – for differential diagnostic workup Small blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Urine status (rapid test for: glucose). Fasting blood glucose (fasting glucose), if necessary oral glucose tolerance test (oGTT).
Obligatory medical device diagnostics. Ophthalmoscopy – to view the fundus (back of the eye), especially examination of the retina (retina), optic papilla (optic nerve papilla), and blood vessels supplying them (central retinal artery with its branches). Vision test Tonometry (intraocular pressure measurement) Perimetry (visual field measurement) Optional medical device diagnostics – depending on the results … Sudden Loss of Vision: Diagnostic Tests
The following symptoms and complaints may occur together with acute visual loss (sudden visual loss): Leading symptom Acute visual loss (sudden loss of vision). Associated symptoms Flashes of light Cephalgia (headache) Eye pain Caveat! Mydriatic (pupil dilating agents) should not be used in the initial contact by the general practitioner, as it may distort the … Sudden Loss of Vision: Symptoms, Complaints, Signs
