Paramedic Education at Monroe Community College, Rochester, New York
You see a patient with sudden visual problems that have continued for the last 25 minutes. The 30 yo w F patient c/o painless flashes of light and the feeling that something is hanging in front of her left eye. She is a diabetic (type I) and has had no opthalmic problems in the past. She denies recent trauma or other symptoms.
You note that the EOM are intact, pupils are equal and responsive, and her visual acuity is as follows: O.D. 20/20, O.S. 20/40. A pinhole card does not improve the vision
You perform a funduscopic exam of the right eye and find it to be normal. You look in the left eye and see the following:
What is the most likely diagnosis:
What would be your most pressing concern at this time: Nothing, antibiotics, have her reclined and hold still, check her blood glucose.
Learning objective Return for another case
Updated: February 12, 1998