Vision Loss - Differential Diagnosis

Chronic: 

  - Cornea: Scarring, Edema

  - Lens: Cataracts

  - Macula: Macular degeneration

  - Retina: Diabetic retinopathy,

  - Systemic inflammation

  - Optic Nerve / Track: Glaucoma, Intracranial mass/track compression (i.e. hemianopsia from pituitary tumor)

Acute:

 - Unilateral, Painful: Keratitis, Corneal Abrasion, Anterior Uveitis, Hyphema, Endophthalmitis, Glaucoma, Optic Neuritis

 - Unilateral, Painless: Lens Dislocation, Retinal Detachment, Central Retinal Artery Occlusion, Central Retinal Vein Occlusion, Ischemic Optic Neuropathy, Retinal Hemorrhage, Vitreal Hemorrhage, TIA, Stroke/lnfarct

 - Bilateral, Painful: Keratitis (toxic exposure)

 - Bilateral, Painless: Stroke/lnfarct, Intracranial Mass, Pseudotumor Cerebri, PRES, Metabolic/Toxic



Dr. Ahmad Mourad @amouradmd



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