Differential Diagnosis for Vision Loss

Unilateral, Painful Vision Loss:

 • Corneal abrasion, Acute angle-closure glaucoma, Inflammation-iritis, uveitis, Optic neuritis, Endophthalmitis, Cavernous sinus thrombosis, Temporal arteritis, Retro-orbital hematoma, Infection-including zoster, Toxic or caustic exposure to eye, Trauma

Unilateral, Painless Vision Loss:

 • Retinal detachment, Vitreous detachment or hemorrhage, Retinal artery or vein occlusion, Lens dislocation, Ischemic optic neuropathy

Bilateral, Painful Vision Loss:

 • Keratitis, Optic chiasm impingement, Toxic or caustic exposure to eye, Trauma

Bilateral, Painless Vision Loss:

 • Stroke, Medication side effects, Metabolic derangement, Keratitis, Psychogenic



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