Certified Paraoptometric (CPO) Practice Exam 2025

What physical condition often leads to patients seeing small particles in their field of vision?

1. Flashes

2. Floaters

3. Retinal detachment

4. Diabetic Retinopathy

The correct answer is: Floaters

The presence of small particles in a patient's field of vision is most commonly associated with floaters. Floaters are tiny clumps of gel or cells inside the vitreous, which is the clear gel that fills the eye. As light enters the eye, these floaters cast shadows on the retina, causing the patient to see them as small specks or cobweb-like shapes. This phenomenon is especially prevalent among individuals with aging eyes, as the vitreous humor can become more liquefied and less gelatinous over time, leading to an increased likelihood of these visual disturbances. While flashes, retinal detachment, and diabetic retinopathy can also affect vision, they do not specifically cause the sensation of seeing small floating particles. Flashes may indicate visual phenomena related to the retina but are not about particles in the visual field. Retinal detachment is a more serious condition characterized by the separation of the retina from the underlying tissue, which can lead to "curtain-like" shadowing rather than floaters. Lastly, diabetic retinopathy involves changes in the retina due to diabetes but again does not manifest as seeing small particles. Therefore, floaters are the most accurate answer for this condition.