Acute vision loss (noninflamed)

Diagnosis

Acute Vision Loss (Noninflamed)

• Painful
  • Arteritic anterior ischemic optic neuropathy
  • Optic neuritis
  • Temporal arteritis^†
• Painless
  • Amaurosis fugax
  • Central retinal artery occlusion (CRAO)^†
  • Central retinal vein occlusion (CRVO)^†
  • High altitude retinopathy
  • Open-angle glaucoma
  • Posterior reversible encephalopathy syndrome (PRES)
  • Retinal detachment^†
  • Stroke^†
  • Vitreous hemorrhage
  • Traumatic optic neuropathy (although may have pain from the trauma)

^†Emergent Diagnosis

Retinal Images

• 

  Central Retinal Vein Occlusion (CRVO)

• 

  Retinal detachment

• 

  CMV retinitis

• 

  Open-angle glaucoma (cupping)

• 

  Roth spots due to retinal vein occlusion (retinal hemorrhage)

• 

  Central retinal artery occlusion: cherry-red spot, retinal edema and narrowing of the vessels.

See Also

• Acute Onset Flashers and Floaters
• Eye Algorithms (Main)

Source

• Rosen
• WMS Practice Guidelines 2000