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.
Physical Exam:
VA with correction (glasses on): 20/30 in both eyes
EOM: full
Confrontation visual fields (CVF): full OU
Pupils: PERLLA
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