Retinal detachment — MCCQE Part 1 MCQ

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HardVisual DisturbanceRetinal detachmentMCCQE Part 1

A 56-year-old myopic man sees flashes and floaters followed by a curtain descending over the left visual field; the eye is painless. Which of the following is the most appropriate next step?

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Correct answer: C — Arrange same-day ophthalmology assessment

Arrange same-day ophthalmology assessment is the single best answer because the age, timing, examination findings and investigations in the vignette fit Retinal detachment better than the alternatives. The most tempting distractor is less appropriate because it either treats a neighbouring presentation, delays a time-critical intervention, or ignores a key discriminator in the stem. The remaining options are suboptimal because they would miss the diagnosis, use an investigation or treatment in the wrong sequence, or fail to address safety and follow-up. Canadian practice should be anchored to Canadian Ophthalmological Society guidance, with attention to acuity, safety-netting and local provincial pathways.

Reference: Canadian Ophthalmological Society guidance