Author: Elliott Taylor, Charles Cleland / Editor: Sarah Edwards / Codes: OptP5, SLO1 / Published: 19/12/2023
A 70-year-old female presents to the emergency department (ED) with sudden onset painless change in her vision, described as a curtain coming down in her right eye. This started at the periphery and is moving to the centre of her vision. She reports having had some flashes and floaters in the same eye over the last couple of days.
There is no history of trauma. She has previously had cataract surgery on the right eye. On examination, visual acuity and visual fields are reduced in the right eye, while the left eye is unaffected.


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Based on the history and examination, what is the most likely diagnosis?
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What is the most appropriate next step in the management of this patient?
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Does retinal detachment always have abnormal findings on direct fundoscopy examination?
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6 responses
Good case review.
good
Nice case
good topic
Nice snappy case
Nice case