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Which condition is indicated by the presence of floaters, flashes of light, and a curtain over the visual field?

  1. Cataract.

  2. Acute angle closure glaucoma.

  3. Retinal detachment.

  4. Diabetic retinopathy.

The correct answer is: Retinal detachment.

The presence of floaters, flashes of light, and a sensation of a curtain over the visual field strongly indicates retinal detachment. This condition arises when the retina separates from the underlying supportive tissue, leading to visual disturbances. Floaters are small specks or shapes that drift through the field of vision, resulting from changes in the vitreous gel in the eye. Flashes of light, or photopsia, occur when the retina is stimulated mechanically due to the traction or pulling that occurs with detachment. The feeling of a curtain descending over the vision is often described by patients experiencing this condition, as it can create a shadow effect in the visual field. Understanding these symptoms is critical for timely assessment and intervention, as retinal detachment can lead to permanent vision loss if not promptly treated. The other conditions listed have different presentations and associated symptoms that do not typically include the combination of floaters, flashes of light, and a curtain effect in vision, reinforcing the distinct nature of retinal detachment as the correct answer here.