Kahawita Shyalle, Simon Sumu, Gilhotra Jolly
MBBS, Ophthalmology Resident Ophthalmology Department, Queen Elizabeth Hospital, Adelaide, SA.
Aust Fam Physician. 2014 Apr;43(4):201-3.
BACKGROUND: Flashes and floaters are common ophthalmic issues for which patients may initially present to their general practitioner. It may be a sign of benign, age-related changes of the vitreous or more serious retinal detachment.
This article provides a guide to the assessment and management of a patient presenting with flashes and floaters.
DISCUSSION: Although most patients presenting with flashes and floaters have benign age-related changes, they must be referred to an ophthalmologist to rule out sight-threatening conditions. Key examination features include the nature of the flashes and floaters, whether one or both eyes are affected and changes in visual acuity or visual field.
闪光和飞蚊症是常见的眼科问题，患者可能最初会去看全科医生。这可能是玻璃体良性的、与年龄相关变化的迹象，也可能是更严重的视网膜脱离的迹象。
本文为出现闪光和飞蚊症的患者的评估和管理提供指导。
虽然大多数出现闪光和飞蚊症的患者有良性的与年龄相关的变化，但必须将他们转诊给眼科医生以排除威胁视力的情况。关键的检查特征包括闪光和飞蚊症的性质、一只眼还是双眼受累以及视力或视野的变化。
