Visual Disturbances in Occipital Neuritis

Differentiating from True Vision-Threatening Conditions

Optic neuritis, an inflammatory condition of the optic nerve, presents with painful visual loss that can be permanent if untreated, according to the American College of Radiology 1, 3
Unlike occipital neuritis, optic neuritis requires MRI imaging of both orbits and head with contrast as primary diagnostic studies, as recommended by the American College of Radiology 1, 3
Optic neuritis shows abnormal enhancement and signal changes within the optic nerve on MRI, a diagnostic criterion supported by the American College of Radiology 1, 3

If visual symptoms persist or worsen independently of head pain, further evaluation for true optic pathway disease is warranted, according to the American College of Radiology 1, 2, 3

Persistent, progressive, or severe visual loss warrants evaluation for other conditions affecting the visual pathway, as indicated by the American College of Radiology 1, 2, 3
MRI of the orbits and head with contrast would be indicated if true optic neuritis is suspected rather than occipital neuritis, a guideline supported by the American College of Radiology 1, 3