Vision Loss



DDx: Vision Loss, Unilateral

Cavernous SinSus Thrombosis

Painful Central Vision Loss Painless
- Double vision
- Swelling & bulding eye
- Post-sinus infection
-CN 3,4,6 paralysis

- MRI
Optic Neuritis Macular Degeneration Retinal Detachment Artery Occlusion Vein Occlusion Giant Cell Arteritis Amourosis fugax
-Swollen optic disk
-Pain on Movement

 
- Elderly
- Progressive
- Central Vision loss
- YELLOW DRUSEN
 
"curtin" falling
FLOATERS
Flashes
? Hx of trauma
Cherry Red macula
Retinal whitening (pale)
Swollen Optic Disk
Hemorrhage
Blood Spots

Tortuosity
 
Jaw Pain
Headache
ESR > 50
Resolve within 24 hr
like a CURTIN falling down
 
Dry Wet
Slow
 
Rapid
Tx:
Neuro-surgery Consult
Tx:
Solumedrol 250 mg IV q6h x 3-5 days

PLUS
prednisone 1mg/kg/day PO x 7-11 days.

+/-
Omeprazole 20mg po qd x 10-14d

Tx:
Vit A,C, E
Zinc

b-carnitine
Tx:
Ranibizumab
Pegaptanib
Tx:
Optho
Tx:
Massage + O2
Tx:
None
Tx:
Steroids