Question

64 yo M is evaluated in the ED for acute onset of vision loss in the left eye, which began 1 hour ago. He can barely see his own hands in front of his eye. He has no eye pain.Most appropriate management?

Answer 1

The most appropriate management for a 64-year-old male presenting with acute onset of vision loss in the left eye is to seek immediate medical attention. Possible causes include central retinal artery occlusion or retinal detachment. An ophthalmologist or emergency department should be consulted for a thorough evaluation and diagnosis.

Step-by-step explanation:

Based on the information provided, the most appropriate management for a 64-year-old male who presents with acute onset of vision loss in the left eye is to seek immediate medical attention. Given the sudden onset and severity of the symptoms, it is important to rule out any potentially serious underlying conditions that could be causing the vision loss.

One possible cause of acute vision loss is a condition called central retinal artery occlusion (CRAO), which occurs when the main artery supplying blood to the retina becomes blocked. Another potential cause could be a retinal detachment, where the retina becomes detached from the back of the eye.

To determine the exact cause of the vision loss and provide appropriate management, the patient should be evaluated by an ophthalmologist or seek care in an emergency department. They will conduct a thorough examination, which may include visual acuity tests, examination of the optic nerve, and imaging tests such as an optical coherence tomography (OCT) scan or fluorescein angiography.