RT Book, Section
A1 Moskoff, Jordan B.
A2 Sherman, Scott C.
A2 Weber, Joseph M.
A2 Schindlbeck, Michael A.
A2 Rahul G., Patwari
SR Print(0)
ID 1101228280
T1 Acute Visual Loss
T2 Clinical Emergency Medicine
YR 2014
FD 2014
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-179460-2
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1101228280
RD 2024/04/20
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.