Photopsia

Pract Neurol. 2020 Oct;20(5):415-419. doi: 10.1136/practneurol-2019-002460. Epub 2020 Jun 14.

Abstract

'Photopsia' describes the symptom of visual disturbances that are typically flash-like, sudden in onset and brief, and occurring without light entering the eye. Patients reporting photopsia often pose a diagnostic challenge, given the wide range of possible neurological and ophthalmological causes. We review the common causes of photopsia, discuss the assessment and workup of this symptom, and stress the importance of close interdisciplinary liaison to help with its diagnosis and management. We discuss a patient with acute zonal occult outer retinopathy to illustrate these points.

Keywords: EYE MOVEMENTS; NEURO-OPHTHALMOLOGY; OPHTHALMOLOGY; PUPILS; VISION.

Publication types

  • Case Reports

MeSH terms

  • Diagnosis, Differential
  • Female
  • Fluorescein Angiography / methods
  • Fundus Oculi
  • Humans
  • Middle Aged
  • Retinal Diseases / diagnosis
  • Retinal Diseases / etiology
  • Retinal Diseases / pathology
  • Scotoma / diagnosis*
  • Scotoma / etiology*
  • Scotoma / pathology
  • Vision Disorders / diagnosis*
  • Vision Disorders / etiology*
  • Vision Disorders / pathology
  • Visual Fields / physiology
  • White Dot Syndromes / diagnosis*
  • White Dot Syndromes / etiology*
  • White Dot Syndromes / pathology

Supplementary concepts

  • Acute zonal occult outer retinopathy