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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