Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: September 11, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

Differential Diagnosis for Rapid Deterioration of Vision in One Eye

Single Most Likely Diagnosis

  • Central Retinal Artery Occlusion (CRAO): This condition is characterized by the sudden, painless loss of vision in one eye due to the occlusion of the central retinal artery. It is a medical emergency requiring prompt treatment to restore vision.

Other Likely Diagnoses

  • Retinal Detachment: A condition where the retina separates from the back of the eye, leading to sudden vision loss. It is often accompanied by flashes of light and floaters, but can be painless.
  • Optic Neuritis: Inflammation of the optic nerve, which can cause rapid vision loss in one eye. It may be associated with pain on eye movement, but this is not always present.
  • Ischemic Optic Neuropathy: A condition caused by decreased blood flow to the optic nerve, leading to sudden vision loss. It is more common in older adults and those with vascular risk factors.

Do Not Miss Diagnoses

  • Giant Cell Arteritis: An inflammatory condition that can cause sudden, painless vision loss in one or both eyes if the arteries supplying the optic nerve are affected. It is crucial to diagnose and treat promptly to prevent further vision loss.
  • Endophthalmitis: A severe infection within the eye that can cause rapid vision loss, often accompanied by pain and redness. Prompt diagnosis and treatment with antibiotics or antifungals are essential to preserve vision.
  • Acute Angle-Closure Glaucoma: Although typically painful, there can be painless presentations, especially in the early stages. It is a medical emergency requiring immediate treatment to reduce intraocular pressure.

Rare Diagnoses

  • Ocular Migraine: Some types of migraines can cause transient, painless vision loss in one eye, but this is usually reversible and not a cause of permanent deterioration.
  • Toxic or Nutritional Optic Neuropathy: Certain toxins or nutritional deficiencies can lead to optic nerve damage and vision loss. These are less common and often have a more gradual onset.
  • Leber's Hereditary Optic Neuropathy: A rare genetic condition that causes sudden, painless vision loss in young adults, typically affecting males more frequently than females.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.