امرأة عمرها ٦٨ سنة مصابة بالسكري، تشتكي من رؤية مشوشة وبقع سوداء عائمة ظهرت فجأة في عين واحدة. لم تفحص عينها منذ ٣ سنوات. سكرها التراكمي ٩٫٨٪. ما الإجراء الأنسب؟

A 68-year-old diabetic woman has blurred vision and sudden dark floaters in one eye. She has not had an eye check for 3 years; HbA1c 9.8%. What is the most appropriate action?

1. Ignore it because glucose causes temporary blurring
2. Urgent eye referral for possible retinal bleeding
3. New reading glasses from a shop without examination
4. Lubricating drops and review in a year

Answer: B) Urgent eye referral for possible retinal bleeding. Sudden floaters in a diabetic may be vitreous haemorrhage from proliferative retinopathy and need urgent assessment to protect sight.