Floaters and/or flashes with “red flag” sign of acute Retinal Detachment
Monocular visual field loss (“curtain of darkness”)
Monocular visual field loss (“curtain of darkness”)
Same-day (immediate) referral to retinal surgeon (minutes may matter)
High risk of Retinal Detachment
High risk of Retinal Detachment
New-onset floaters and/or flashes with high-risk features:
Subjective or objective visual reduction examination
Vitreous hemorrhage or vitreous pigment on slitlamp examination
Subjective or objective visual reduction examination
Vitreous hemorrhage or vitreous pigment on slitlamp examination
Same-day referral to ophthalmologist or retinal surgeon
New-onset floaters and/or flashes without high-risk features
Referral to ophthalmologist within 1 to 2 weeks
Counsel patient regarding high-risk features
Counsel patient regarding high-risk features
Recently diagnosed uncomplicated<unk>  with
New shower of floaters
New subjective visual reduction
New shower of floaters
New subjective visual reduction
Rereferral to ophthalmologist to rule out new retinal tear or detachment
Contact ophtho to help determine urgency
Contact ophtho to help determine urgency
Stable symptoms of floaters and/or flashes for several weeks to months, not particularly bothersome to the patient and without high-risk features
Elective referral to ophthalmologist
Counsel patient regarding high-risk features that should prompt urgent reassessment
Counsel patient regarding high-risk features that should prompt urgent reassessment
Posterior vitreous detachment
Ocular causes
Vitreous hemorrhage
Floaters and/or flashes
Traumatic optic neuropathy
Optic neuritis
Retinal tear or retinal detachment
Retinal detachment