1. Saleh A. Al Amro, MD, FRCS, FRCOphth
Acute Visual Loss
Saleh A. Al Amro, MD, FRCS, FRCOphth

3. Causes of Acute Visual Loss
Painless
Painful
Vitreous hem
Keratitis
Acute A. C. glaucoma RD
Uveitis
Retinal vascular Occlusions
Lens X
Optic neuritis +
Ischemic optic neuropathy
CVA
Functional

9. Acute Angle Closure Glaucoma

11. Aims of Acute ACG management :
Decrease IOP
Prevent future attacks in OU

14. Retinal Detachment (RD)
Symptoms:
Flashes
Prodromal
Floaters
VF loss – curtain-like.
Sudden, painless loss of vision.

15. RD
Types:
Rhegmatogenous RD.
Traction RD.
Exudative RD.

18. RD (cont.) Risk Factors:
Peripheral retinal degenerations e.g. lattice degeneration, retinal tufts…etc.
High myopia.
Aphakia.
Trauma.
H/O RD.

19. RD (cont.) Management: RD is an urgent condition.
Needs emergency surgery.
Scleral buckle, cryotherapy, SRF drainage.
Vitrectomy, AFX, endolaser, long-acting tamponade (Gas, Silicone oil).

21. Diabetic Retinopathy

33. Vitreous Hemorrhage Not a diagnosis rather a sign of many diseases

34. Diabetic Retinopathy DDX Radiation retinopathy.
Hypertensive retinopathy.
Retinal venous obstruction.
Ocular ischemic syndrome.
Coat’s disease.
Retinal telangiectasia.
Sickle cell retinopathy.

35. Diabetic Retinopathy Most important ocular complication of DM.
The leading cause of blindness in active young individuals.
Screening, F/U and early treatment can control diabetic blindness.

47. Thank You

66. Thank You