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Symptoms » Seeing spots » Diagnosis Checklist
 
Dr. Huntley's

DIAGNOSIS CHECKLIST
for Seeing spots

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques in his assesment of the symptom: Seeing spots. These may include a physical examination or other medical tests. Your doctor may ask several questions when assessing your condition. It is important to remember that your consultation is a two-way process and any extra information you can share with your doctor may help them with their diagnosis.

Some of the questions your doctor may ask are listed below:

  1. How long have you been seeing spots in your field of vision?

    Why: to determine if acute or chronic.

  2. Explain exactly what you see when referring to spots in your field of vision?

    Why: "floaters" are generally used to describe tiny dark spots, specks or spidery webs that float across the field of vision. Most people notice them in well-lit rooms or outdoors on a bright day. After the eye comes to rest, they continue to move. Floaters often are normal, but sometimes they warn of eye problems such as retinal detachment, especially if they happen with light flashes.

  3. Are the spots in your field of vision unilateral or bilateral?
  4. Was there anything that precipitated the onset of the spots in your field of vision?
  5. Risk factors for retinal detachment?

    Why: e.g. eye trauma, myopia (short-sightedness), previous cataract operation, eye tumor, diabetes.

  6. Risk factors for vitreous hemorrhage?

    Why: e.g. eye trauma, bleeding disorders, diabetes, eye tumor, retinal detachment, central retinal vein occlusions.

  7. Is there a history of eye trauma?

    Why: e.g. blow to eye or blow to the head - may indicate retinal detachment or vitreous hemorrhage.

  8. Past medical history?

    Why: e.g. diabetes increases the risk of retinal detachment, vitreous hemorrhage and diabetic retinopathy; hypertension; leukemia; sarcoidosis; tuberculosis; systemic lupus erythematosus; sickle cell disease; endocarditis.

  9. Family history?

    Why: e.g. diabetes, sickle cell disease, systemic lupus erythematosus.

Questions your doctor may ask about related symptoms:

Sometimes, other symptoms may be present and may help your doctor analyse your condition. These may include:

  1. Flashes in field of vision?

    Why: suggests retinal detachment.

  2. Redness and painful eye?

    Why: may suggest uveitis.

  3. Symptoms of vitreous hemorrhage?

    Why: e.g. sudden onset of spots (floaters) in vision, may be sudden loss of vision, visual acuity depends on extent of hemorrhage.

  4. Symptoms of retinal detachment?

    Why: e.g. sudden showers of spots (floaters) or flashes or black spots, blurred vision in one eye becoming worse, " a curtain coming down over the eye", painless total or partial loss of visual field.

  5. Symptoms of posterior vitreous detachment?

    Why: e.g. sudden onset of spots (floaters), visual acuity usually normal, flashing lights usually indicate traction on the retina (and thus at risk of retinal detachment).

  6. Symptoms of diabetes?

    Why: e.g. frequent urination, excessive thirst, passing urine at night, weight loss, blurry vision - may experience spots (floaters) if diabetes is complicated by diabetic retinopathy, retinal detachment or vitreous hemorrhage.


 » Next page: Types of Seeing spots

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