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Retinal detachment — ABFM Board MCQ

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ModerateENT, OphthalmologyRetinal detachmentABFM Board

A 63-year-old man has sudden painless vision loss in the right eye described as a curtain descending. He has many floaters and flashes. Visual acuity is reduced, and funduscopic examination is limited in clinic. Which of the following is the most appropriate next step?

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Correct answer: E — Urgent same-day ophthalmology referral

Flashes, floaters, and curtain-like visual field loss suggest retinal detachment. This is an ophthalmic emergency requiring urgent same-day specialist assessment.

Reference: AAO Preferred Practice Pattern: Posterior Vitreous Detachment and Retinal Breaks