Decrease of Vision

Take vision with chart and confirm. If the vision loss is sudden, Refer to an Ophthalmologist immediately.

When vision loss is gradual.

Likely Cause:

1) Check for cataract.

Management: Shine a torch and see whether the lens is whitened. List the patient wit details so that he/she could be sent to a cataract surgery facility.

2) Check for refractive errors

Management: If the vision improves with a pinhole patient needs to visit an ophthalmologist specialist/Optometrist and get appropriate glasses prescribed.

3) Check for retinal causes:

Management: Do an ophthalmoscopic examination. Needs referral if any fundal changes seen.