Date of last review: Due to be updated

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