This guideline last updated 19/08/2018 12:47:50

Differential diagnosis

• Arteritic Anterior Ischaemic Optic Neuropathy
• Compressive optic neuropathy
• Diabetic papillopathy
• Vasculitis

Possible management by Optometrist

Treatment

• None

Advice

• Urgent referral to the GP to
  • Exclude giant cell arteritis
  • Address secondary vascular risk factors
• Advise on smoking cessation
  • Consider referral to GP/pharmacy for smoking cessation programs

Management Category

• Referral to ophthalmology

Possible management by Ophthalmologist

• Observation
• Exclusion of other causes