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Acute Vision Loss

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Abstract

Acute vision loss has many etiologies with a large differential. These conditions can range from benign to those resulting in permanent vision loss. Many of these diagnoses are time-sensitive, and the emergency physician may improve patient outcome through the consideration of several acute etiologies. This chapter evaluates the emergency medicine evaluation and management of vision loss.

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References

  1. Burde R, Savino P, Trobe J. Clinical decisions in neuro-ophthalmology. 3rd ed. St. Louis: Mosby; 2002.

    Google Scholar 

  2. Walker RA, Adhikaris S. Chap. 241. Eye emergencies. In: Tintinalli’s emergency medicine: a comprehensive study guide. 8th ed. New York: McGraw-Hill; 2016.

    Google Scholar 

  3. Guluma K, Lee JE. Ophthalmology. In: Rosen’s emergency medicine, Chapter 61. p. 780–8190.e3.

    Google Scholar 

  4. Colby K. Management of open globe injuries. Int Ophthalmol Clin. 1999;39:59.

    Article  PubMed  CAS  Google Scholar 

  5. Unver YB, Kapran Z, Acar N, Altan T. Ocular trauma score in open-globe injuries. J Trauma. 2009;66:1030.

    Article  PubMed  Google Scholar 

  6. Thakker MM, Ray S. Vision-limiting complications in open-globe injuries. Can J Ophthalmol. 2006;41:86.

    Article  PubMed  Google Scholar 

  7. Friedlaender MH. A review of the causes and treatment of bacterial and allergic conjunctivitis. Clin Ther. 1995;17:800.

    Article  PubMed  CAS  Google Scholar 

  8. Weiss A, Brinser JH, Nazar-Stewart V. Acute conjunctivitis in childhood. J Pediatr. 1993;122:10.

    Article  PubMed  CAS  Google Scholar 

  9. Walton W, Von Hagen S, Grigorian R, Zarbin M. Management of traumatic hyphema. Surv Ophthalmol. 2002;47:297.

    Article  PubMed  Google Scholar 

  10. Brandt MT, Haug RH. Traumatic hyphema: a comprehensive review. J Oral Maxillofac Surg. 2001;59:1462.

    Article  PubMed  CAS  Google Scholar 

  11. Pashby T. Eye injuries in Canadian amateur hockey. Can J Ophthalmol. 1985;20:2.

    PubMed  CAS  Google Scholar 

  12. Sankar PS, Chen TC, Grosskreutz CL, Pasquale LR. Traumatic hyphema. Int Ophthalmol Clin. 2002;42:57.

    Article  PubMed  Google Scholar 

  13. Guly CM, Forrester JV. Investigation and management of uveitis. BMJ. 2010;341:c4976.

    Article  PubMed  Google Scholar 

  14. Jabs DA, Busingye J. Approach to the diagnosis of the uveitides. Am J Ophthalmol. 2013;156:228.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Rosenbaum JT. Nibbling away at the diagnosis of idiopathic uveitis. JAMA Ophthalmol. 2015;133:146.

    Article  PubMed  Google Scholar 

  16. Pokhrel PK, Loftus SA. Ocular emergencies. Am Fam Physician. 2007;76:829.

    PubMed  Google Scholar 

  17. See JLS, PTK C. Angle-closure glaucoma. In: Yanoff M, Duker JS, editors. Ophthalmology. 3rd ed. St. Louis: Mosby; 2009. p. 1162.

    Chapter  Google Scholar 

  18. D’Amico DJ. Clinical practice. Primary retinal detachment. N Engl J Med. 2008;359:2346.

    Article  PubMed  Google Scholar 

  19. Hikichi T, Trempe CL, Schepens CL. Posterior vitreous detachment as a risk factor for retinal detachment. Ophthalmology. 1995;102:527.

    Article  CAS  PubMed  Google Scholar 

  20. Mandelbaum S, Forster RK. Exogenous endophthalmitis. In: Pepose JS, Holland GN, Wilhelmus KR, editors. Ocular immunology and infection. St. Louis: Mosby; 1996. p. 1298.

    Google Scholar 

  21. Eagle RC Jr. Mechanisms of maculopathy. Ophthalmology. 1984;91:613.

    Article  PubMed  Google Scholar 

  22. Appen RE, Wray SH, Cogan DG. Central retinal artery occlusion. Am J Ophthalmol. 1975;79:374.

    Article  PubMed  CAS  Google Scholar 

  23. Hayreh SS, Podhajsky PA, Zimmerman MB. Natural history of visual outcome in central retinal vein occlusion. Ophthalmology. 2011;118:119.

    Article  PubMed  Google Scholar 

  24. Eye Disease Case-Control Study Group. Risk factors for central retinal vein occlusion. Arch Ophthalmol. 1996;114:545.

    Article  Google Scholar 

  25. Smetana GW, Shmerling RH. Does this patient have temporal arteritis? JAMA. 2002;287:92.

    Article  PubMed  Google Scholar 

  26. Younge BR, Cook BE Jr, Bartley GB, et al. Initiation of glucocorticoid therapy: before or after temporal artery biopsy? Mayo Clin Proc. 2004;79:483.

    Article  PubMed  Google Scholar 

  27. Hunder GG. Giant cell arteritis and polymyalgia rheumatica. In: Kelly WN, Harris ED, Ruddy S, Sledge CB, editors. Textbook of Rheumatology. 5th ed. Philadelphia: WB Saunders; 1996.

    Google Scholar 

  28. Balcer LJ. Clinical practice. Optic neuritis. N Engl J Med. 2006;354:1273.

    Article  CAS  PubMed  Google Scholar 

  29. Foroozan R, Buono LM, Savino PJ, Sergott RC. Acute demyelinating optic neuritis. Curr Opin Ophthalmol. 2002;13:375.

    Article  PubMed  Google Scholar 

  30. Frohman EM, Frohman TC, Zee DS, et al. The neuro-ophthalmology of multiple sclerosis. Lancet Neurol. 2005;4:111.

    Article  PubMed  Google Scholar 

  31. Arnold AC. Evolving management of optic neuritis and multiple sclerosis. Am J Ophthalmol. 2005;139:1101.

    Article  PubMed  Google Scholar 

  32. Seltz LB, Smith J, Durairaj VD, et al. Microbiology and antibiotic management of orbital cellulitis. Pediatrics. 2011;127:e566.

    Article  PubMed  Google Scholar 

  33. Nageswaran S, Woods CR, Benjamin DK Jr, et al. Orbital cellulitis in children. Pediatr Infect Dis J. 2006;25:695.

    Article  PubMed  Google Scholar 

  34. Zhang J, Stringer MD. Ophthalmic and facial veins are not valveless. Clin Exp Ophthalmol. 2010;38:502.

    Article  PubMed  Google Scholar 

  35. Mills R. Orbital and periorbital sepsis. J Laryngol Otol. 1987;101:1242.

    Article  PubMed  CAS  Google Scholar 

  36. Ferro JM, Canhão P, Stam J, et al. Prognosis of cerebral vein and dural sinus thrombosis: results of the International Study on Cerebral Vein and Dural Sinus Thrombosis (ISCVT). Stroke. 2004;35:664.

    Article  PubMed  Google Scholar 

  37. Saposnik G, Barinagarrementeria F, Brown RD Jr, et al. Diagnosis and management of cerebral venous thrombosis: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2011;42:1158.

    Article  PubMed  Google Scholar 

  38. Acheson JF. Idiopathic intracranial hypertension and visual function. Br Med Bull. 2006;79–80:233.

    Article  PubMed  Google Scholar 

  39. Wall M, Kupersmith MJ, Kieburtz KD, et al. The idiopathic intracranial hypertension treatment trial: clinical profile at baseline. JAMA Neurol. 2014;71:693.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Rucker JC, Biousse V, Newman NJ. Ischemic optic neuropathies. Curr Opin Neurol. 2004;17:27.

    Article  PubMed  Google Scholar 

  41. Alvord EC Jr, Lofton S. Gliomas of the optic nerve or chiasm. Outcome by patients’ age, tumor site, and treatment. J Neurosurg. 1988;68:85.

    Article  PubMed  Google Scholar 

  42. Barceloux DG, Bond GR, Krenzelok EP, et al. American Academy of Clinical Toxicology practice guidelines on the treatment of methanol poisoning. J Toxicol Clin Toxicol. 2002;40:415.

    Article  PubMed  CAS  Google Scholar 

  43. Sivilotti ML. Methanol intoxication. Ann Emerg Med. 2000;35:313.

    Article  PubMed  CAS  Google Scholar 

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Long, B., Koyfman, A. (2018). Acute Vision Loss. In: Long, B., Koyfman, A. (eds) Handbook of Emergency Ophthalmology. Springer, Cham. https://doi.org/10.1007/978-3-319-78945-3_8

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  • DOI: https://doi.org/10.1007/978-3-319-78945-3_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-78944-6

  • Online ISBN: 978-3-319-78945-3

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