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Ophthalmology General 32e769c4

A child presents with sudden loss of vision with painful ocular movements. The eye is white and there are no obvious signs on ophthalmoscopy. The most likely diagnosis is -

A
Optic nerve glioma
B
Retrobulbar neuritis
C
Craniopharyngioma
D
Papillitis
High-Yield Explanation
Information in this question are :- Sudden loss of vision Painful ocular movement Normal fundus on ophthalmoscopy All are seen in retrobulbar neuritis and last two features are more characteristics of retrobulbar neuritis and differentiate it from papillitis. Papillitis vs retrobulbar neuritis Papillitis and retrobulbar neuritis have almost same clinical features except : i) Painful ocular movement is more common in retrobulbar neuritis than papillis ii) Fundus is normal in retrobulbar neuritis while papillitis has characteristic fundus abnormalities.

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