Sudden loss of vision is an ophthalmological emergency and requires immediate referral to the eye emergency department.
The cause should be ascertained. A high ESR is suggestive of an inflammatory cause such as giant cell arteritis.
A rapid reduction of the intraocular pressure may allow the circulation to be restored in embolic or thrombotic occlusion. This must be done within the first 2 hours, the principle being to dislodge the emboli into a more peripheral branch. Methods used include massage of the globe, paracentesis of the anterior chamber, or iv acetazolamide. A cardiovascular assessment is indicated to ascertain the source of the thrombus or embolus.
Annotations allow you to add information to this page that would be handy to have on hand during a consultation. E.g. a website or number. This information will always show when you visit this page.