CHRONIC VISION LOSS: Anatomic Perform slit-lamp exam to localize: Left ->Right on Scheme Chronic Vision Loss Cornea Lens Obscure Red Reflex, Poor fundus Visibility Macula Drusen or EdemaRetina Cotton wool spots, Micro-aneurysms, Hemorrhage and Macular Edema Optic Nerve Pallor, Papilledema, Irregular Disc Large Cup:Disc Optic Track Visual field defects, decrease in color vision Cataract (Nuclear, Subcapsular, Cortical) Age Related Macular Degeneration (Wet, Dry) Diabetic Retinopathy (Background, Pre-Proliferative, Proliferative) Retinitis Pigmentosa (Decreased night vision, loss of peripheral vision) Systemic inflammatory conditions Glaucoma (Open-Angle) Optic Nerve Compression Pituitary Lesion Meningioma Craniopharyngioma Clinical Pearls: Edema can cause halos in the vision.Bilateral disc swelling and any suspected mass require imaging.

Related resources