The daily educational pearl – causes of unilateral vision loss

Causes of unilateral vision loss

Painful

  • acute angle-closure glaucoma
  • optic neuritis
  • open-globe injuries
  • orbital cellulitis / endophtalmitis / panophtalmitis

 Painless

  • central retinal artery occlusion (CRAO)
  • central retinal vein occlusion (CRVO)
  • retinal detachment
  • retinal break
  • vitreous hemorrhage
  • macular disorders (macular degeneration / trauma / infective – toxoplasmosis, CMV)
  • optic nerve ischaemic neuropathy (giant cell arteritis, diabetes, compression by mass)
  • optic nerve toxic neuropathy (methanol)
  • chiasmal visual loss – pituitary tumours / craniopharyngioma / meningioma
  • neuro-ophtalmologic causes (pathology involving post-chiasmal optic tract – occipital lobe: infarction / tumour / AVMs)
  • functional (hysteria / malingering)

With thanks to Yusuf.

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