Differential Diagnosis for a 59-year-old Male with Suspected Retinal Detachment after Eye Surgery
Single Most Likely Diagnosis
- Retinal Detachment: Given the recent eye surgery and symptoms of seeing spotty shapes, globby stuff, and blurriness, retinal detachment is the most likely diagnosis. These symptoms are classic for retinal detachment, especially in the context of recent ocular surgery.
Other Likely Diagnoses
- Postoperative Endophthalmitis: This is an infection of the inner eye that can occur after surgery, presenting with symptoms like blurred vision, eye pain, and floaters. It's a common complication post-eye surgery and needs prompt treatment.
- Vitreous Hemorrhage: Bleeding into the vitreous gel can cause sudden vision changes, including floaters and blurred vision, similar to what the patient is experiencing. This could be related to the surgery or an underlying condition.
- Cystoid Macular Edema (CME): This condition involves fluid accumulation in the macula, leading to blurred vision and can occur after eye surgery. Symptoms might include blurred or decreased vision, which aligns with the patient's complaints.
Do Not Miss Diagnoses
- Central Retinal Artery Occlusion: Although less likely, this condition is an emergency that requires immediate treatment to prevent permanent vision loss. Symptoms can include sudden, painless loss of vision, which could be masked by the post-surgical state.
- Acute Angle-Closure Glaucoma: This is a medical emergency that can present with blurred vision, eye pain, and seeing halos around lights. It's less common post-surgery but would be catastrophic if missed.
Rare Diagnoses
- Ocular Toxoplasmosis: An infection that can reactivate after eye surgery, causing blurred vision and floaters. It's less common but should be considered, especially if the patient has a history of toxoplasmosis.
- Sympathetic Ophthalmia: A rare, inflammatory condition that can occur after eye surgery, leading to vision loss in the unaffected eye. It's extremely rare but has significant implications if not recognized and treated promptly.