This guideline last updated 07/05/2022 10:07:11

Differential diagnosis

• Anterior ischaemic optic neuropathy
• Compressive optic neuropathy
• Posterior scleritis

Possible management by Optometrist

Treatment

• None

Advice

• Explain symptoms usually deteriorate over a week, stay the same for two to three weeks, before rapidly improving over three to four weeks
• Pain on eye movement usually resolves after a week
• Occasionally steroids are used to shorten the duration of symptoms or if pain a particular issue

Management Category

• Referral to ophthalmology

Possible management by Ophthalmologist

• Observation
• Steroid therapy
• Neuroimaging
• Referral to neurology