Photopsias

Evidence-based neurology checklist on photopsias: Clinical features These are sudden and brief flash-like visual disturbances They may occur singly or repetitively They are unilateral in ocular disorders Bilateral cases occur with chiasmal, retro-chiasmal, and systemic disorders Unilateral cases…

Clinical features

  • These are sudden and brief flash-like visual disturbances
  • They may occur singly or repetitively
  • They are unilateral in ocular disorders
  • Bilateral cases occur with chiasmal, retro-chiasmal, and systemic disorders
  • Unilateral cases may become bilateral with migraine and some retinal disorders

Ophthalmic causes

Neurological causes

Systemic causes

Drug-induced

Investigations

References

  1. Virdee J, Mollan SP. Photopsia. Pract Neurol 2020 (Online ahead of print).
  2. Marsiglia M, Odel JG, Rudich DS, Tsang SH, Plant GT. Photopsia and a temporal visual field defect. Surv Ophthalmol 2016; 61:363-367.
  3. Goodfellow JF, Mokete B, Williamson TH. Discriminate characteristics of photopsia in posterior vitreous detachment, retinal tears and retinal detachment. Ophthalmic Physiol Opt 2010; 30:20-23.
  4. Brown GC, Brown MM, Fischer DH. Photopsias: a key to diagnosis. Ophthalmology 2015; 122:2084-2094. 
  5. Roos NM, Wiegman MJ, Jansonius NM, Zeeman GG. Visual disturbances in (pre)eclampsia. Obstet Gynecol Surv 2012; 67:242-250.
  6. And 3 more. Subscribe to see the full list

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