TY - CHAP M1 - Book, Section TI - Acute Visual Loss A1 - Moskoff, Jordan B. A2 - Sherman, Scott C. A2 - Weber, Joseph M. A2 - Schindlbeck, Michael A. A2 - Rahul G., Patwari PY - 2014 T2 - Clinical Emergency Medicine AB - History and physical examination alone will lead to the diagnosis in most patients presenting with acute visual loss.The most important first step in addressing the patient with acute monocular visual loss is to determine whether the loss of vision is associated with pain.In patients with acute visual loss without pain, suspect central retinal artery occlusion (CRAO), central retinal vein occlusion (CRVO), or retinal detachment.Patients with acute visual loss with associated pain may have optic neuritis, temporal (giant cell) arteritis, acute angle-closure glaucoma, or a large central corneal abrasion or ulceration.An ophthalmologist should be consulted immediately when CRAO or acute angle-closure glaucoma are diagnosed in the emergency department. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/24 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1101228280 ER -