Adult-Gerontology Clinical Nurse Specialist (CNS) Practice Exam

Which of the following signs is associated with retinal detachment?

1. Glossy eyes

2. Photophobia

3. Bloodshot eye

4. Spots moving across the eye

The correct answer is: Spots moving across the eye

Retinal detachment is a serious condition in which the retina separates from the underlying supportive tissue. One of the classic signs associated with retinal detachment is the perception of floaters, which are tiny spots or shapes that appear to move across the field of vision. These spots, often described as "spots moving across the eye," occur due to the presence of debris in the vitreous gel that can cast shadows on the retinal surface as it separates. The presence of these spots or floaters signals a change in the vitreous body and can indicate that retinal detachment may be occurring or is at risk of occurring. Prompt recognition of this symptom is crucial as it often requires urgent medical intervention to prevent permanent vision loss. In contrast, other signs such as glossy eyes, photophobia, and bloodshot eye do not characterize retinal detachment and are more commonly associated with different ocular conditions or reactions rather than the detachment itself. Therefore, the perception of spots moving across the eye serves as a key warning sign for this potentially sight-threatening condition.