Retinal detachment



Retinal detachment

Eyes, ears, nose, and throat


Retinal detachment


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USMLE® Step 1 questions

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High Yield Notes

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Retinal detachment

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USMLE® Step 1 style questions USMLE

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A 74-year-old woman is brought to the emergency department to evaluate sudden-onset painless visual disturbance of her right eye. The patient initially saw floaters and flashes of light in her right eye. Since then, she reports progressive worsening of vision, endorsing a “curtain veil” coming over her right visual field. Her past medical history includes diabetes mellitus and hypertension. Vitals are within normal limits. Fundoscopy demonstrates crinkling of retinal tissue and changes in blood vessel direction. Which of the following is the most likely diagnosis?  

External References

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Detached retina p. 556

Myopia p. 553

retinal detachment p. NaN


Retinal detachment is a disorder of the eye in which the retina peels away from its underlying layer of support tissue. Initial detachment may be localized or broad, but without timely treatment the entire retina may detach, leading to vision loss and blindness. It is a medical emergency, because permanent damage may occur if the detachment is not repaired within 24 �72 hours. Risk factors for retinal detachment include a family history of the condition, previous eye surgery, high myopia, and certain eye injuries. Symptoms of retinal detachment include sudden onset of floaters, flashes of light, and a loss of peripheral vision. Treatment for retinal detachment typically involves surgical repair of the retina.


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