A 25 year old male gives history of sudden painless loss of vision in one eye for the past 2 weeks. There is no history of trauma. On examination the anterior segment is normal but there is no fundal glow. Which one of the following is the most likely cause?: (A) Vitreous haemorrhage, (B) Optic atrophy, (C) Developmental cataract, (D) Acute attack of angle closure glaucoma
Answer is A. Ans. (a) Vitreous hemorrhageRef: Kanski 7/e, p. 730Sudden painless loss of vision with absence of fundal glow and a normal anterior chamber, in absence of trauma (spontaneous) is consistent with a diagnosis of spontaneous vitreous hemorrhage.Vitreous hemorrhageSudden painless loss of visionOptic atrophyGradual painless loss of visionDevelopmental cataractGradual painless loss of visionAcute angle closure glaucomaSudden painful loss of vision