Browse categories and answer follow-up questions to refine your symptom profile.
Immediate priorities
Time critical stabilization
Hemodynamic instability
Shock physiology
Altered mental status limiting eye exam
Immediate vision threat
Sudden severe vision loss
Macula-on symptoms
Trauma red flags
Suspected open globe
Chemical injury
Immediate actions
Ophthalmology consultation now for suspected retinal detachment
If macula-on suspected, emergent surgical planning within 24 hours
If macula-off suspected, urgent surgical planning within days
Protective measures if trauma
Rigid eye shield
Avoid ocular pressure
Symptom control
Antiemetic therapy for vomiting to reduce Valsalva
Analgesia for pain limiting exam
Key decision points
High risk presentation triage
Curtain or shadow progressing
Retinal detachment until proven otherwise
New flashes with new floaters
Posterior vitreous detachment with retinal tear risk
Visual field defect
Localization by patient description
Macula status estimate
Central vision preserved
Likely macula-on
Central vision reduced or distorted
Likely macula-off
Monitoring and escalation
Reassessment triggers
Worsening vision in ED
Escalate to immediate ophthalmology bedside evaluation
New afferent pupillary defect
Consider extensive detachment or alternate diagnosis
Severe headache and nausea with high IOP concern
Consider acute angle closure glaucoma as alternate diagnosis
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.