Ophthalmology Book

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Floaters

Aka: Floaters, Entopsias
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  1. See Also
    1. Light Flashes (Photopsias)
  2. Epidemiology
    1. Common over age 35 years
  3. Pathophysiology
    1. Detachment of vitreous base
  4. Symptoms
    1. Fine dots or strings in visual field
    2. Cobwebs, clouds or strings in visual field
  5. Differential Diagnosis
    1. Retinal Detachment (abrupt and severe floater onset)
    2. Posterior Vitreous Detachment
      1. Risk for Retinal Detachment
    3. Diabetic Retinopathy
    4. Intraocular hemorrhage
    5. Uveitis
  6. Management
    1. Ophthalmology to evaluate differential diagnosis
      1. Patient should be seen within one week of onset
    2. Refer especially high-risk groups
      1. Near-sighted
      2. Diabetes Mellitus
      3. Previous Retinal disease
  7. References
    1. Noble (2001) Primary Care Medicine, p. 1701
    2. Gariano (2004) Am Fam Physician 69:1691-8

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