Unit 6: Differential Diagnosis of Blurred Vision

Symptoms

  • Flashing lights (photopsia), most commonly in the peripheral temporal field
  • Floaters
  • Visual field loss (indicating retinal detachment)
  • Loss of central visual acuity if the macula is detached

Floaters

Blood, retinal pigment epithelial cells (that have passed through a retinal break into the vitreous cavity), or condensed vitreous fibres (from collapse of the vitreous) can all occur in retinal detachment and all can cause vitreous floaters. These move around inside the eye as the patient shifts their gaze. A few longstanding floaters are less worrying, but a large number of floaters, occurring with photopsia, is a serious symptom that requires referral regardless of the examination findings.

Weiss Ring: large floater seen following a posterior vitreous detachment.

Weiss Ring: large floater seen following a posterior vitreous detachment.

Source: www.eyerounds.org