Differential Diagnosis for Blank Space in Center of Vision Both Eyes
- Single Most Likely Diagnosis
- Macular Degeneration: This condition is a leading cause of vision loss in older adults, characterized by the deterioration of the macula, which is responsible for central vision. The symptoms can include a blank or blurry spot in the center of the visual field, affecting one or both eyes.
- Other Likely Diagnoses
- Diabetic Macular Edema: A complication of diabetes that results in fluid accumulation in the macula, leading to distorted and blurred vision, which can manifest as a blank space in the center of vision.
- Macular Hole: A small break in the macula that can cause blurred and distorted vision, with patients often describing a blank or missing area in their central visual field.
- Central Serous Chorioretinopathy (CSC): A condition where fluid accumulates under the retina, causing a detachment and leading to a blind spot or blurred vision in the center of the visual field.
- Do Not Miss Diagnoses
- Optic Neuritis: Inflammation of the optic nerve that can cause pain and vision loss, including a central scotoma (blind spot). Although less common, missing this diagnosis could lead to delayed treatment and potential permanent vision loss.
- Pituitary Tumor: Although rare, a tumor in the pituitary gland can compress the optic chiasm, leading to bitemporal hemianopia or, less commonly, central visual field defects if the tumor affects the optic nerves directly.
- Rare Diagnoses
- Leber's Hereditary Optic Neuropathy (LHON): A rare inherited disease that causes central vision loss, typically in young adults. It's characterized by a sudden, painless loss of vision, often starting in one eye and then affecting the other.
- Toxic or Nutritional Optic Neuropathy: Certain toxins or nutritional deficiencies can cause optic nerve damage, leading to central vision loss. Examples include methanol poisoning or deficiencies in vitamin B12.