Which of the following symptoms would occur in a client with a detached retina?
A. Flashing lights and floaters
B. Homonymous hemianopia
C. Loss of central vision
D. Ptosis
Correct Answer: A. Flashing lights and floaters
Signs and symptoms of retinal detachment include abrupt flashing lights, floaters, loss of peripheral vision, or a sudden shadow or curtain in the vision. Occasionally visual loss is gradual. Patients with a rhegmatogenous retinal detachment may present with a history of a large number of new-onset floaters. They may also have significant photopsia (flashes of light) in their vision. The patient often presents with slowly progressive or fixed visual field loss, typically starting in the periphery and then moving centrally.
Option B: Homonymous hemianopsia involves loss of visual field zones, and patients often present with bilateral field loss, though sometimes they complain of monocular loss or dyslexia. In addition, unilateral lesions in these following anatomical locations do not alter acuity.
Option C: Many patients with glaucoma, especially early in the disease, are not aware they have this condition until it is discovered on a routine eye exam. On comprehensive eye examination, optic nerves may have a focally notched neuroretinal rim or diffuse cup enlargement, a decrease in peripheral vision detected on visual field testing, and (although not required for diagnosis) an increased intraocular pressure reading on tonometry.
Option D: Ptosis is known as the drooping of the upper eyelid, and the patient usually presents with the complaint of a defect in vision and cosmesis. It can be congenital or acquired, or it can be neurogenic, myogenic, aponeurotic, mechanical, or traumatic in origin.
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