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Answer :
The most likely diagnosis is central retinal artery occlusion (CRAO). Symptoms such as flashes of light, floaters, and curtain-like vision loss are consistent with CRAO. Schaffer's sign is a positive finding that supports the diagnosis.
The most likely diagnosis for this patient is central retinal artery occlusion (CRAO). CRAO is a sudden blockage of the main artery of the retina, leading to vision loss. The symptoms described by the patient, such as flashes of light, floaters, and a curtain-like vision loss progressing centrally, are all consistent with CRAO.
Schaffer's sign is a visible whitening of the retina, which can occur in CRAO. This sign increases the likelihood of the diagnosis. It is important for the patient to seek immediate medical attention as CRAO is an ophthalmic emergency.
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