The correct answer is flashes. Whenever a patient has floaters, the presence or absence of associated flashes (or photopsia) should be elicited. Presence of flashes should raise level of concern.
Our patient denies any flashes.
VA with correction (glasses on): 20/30 in both eyes
Confrontation visual fields (CVF): full OU
External Exam: lids within normal limits, conjunctiva white and quiet, cornea clear, anterior chamber formed, iris flat bilaterally
On fundoscopic exam of the right eye with the panoptic you see this:
Given the new onset of these symptoms, you recommend ophthalmology evaluation soon and are able to get your patient an appointment with a colleague later that week.
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Case 3 Introduction