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visual field loss
Etiology:
1) horizontal visual field loss
a) amaurosis fugax
b) central retinal artery occlusion
c) ischemic optic neuropathy
d) giant cell arteritis
2) vertical visual field loss
- lesion posterior to the optic chiasm
- stroke
3) monocular visual field loss
- retinal detachment
4) peripheral visual field loss
- glaucoma
5) pharmaceuticals [2]
- chloroquine
- ethambutol
- hydroxychloroquine
- isoniazid
- niacin
Physical examination:
- except for detection of homonymous hemianopia, visual field testing is insensitive for detecting visual field defects
- referral to ophthalmology is suspicion of retinal detachment [1]
Specific
hemianopia
scotoma
General
visual impairment
References
- Medical Knowledge Self Assessment Program (MKSAP) 11, 15, 16, 18.
American College of Physicians, Philadelphia 1998, 2009, 2018
- Geriatrics at your Fingertips, 13th edition, 2011
Reuben DB et al (eds)
American Geriatric Society