Corneal ulcer
Keratitis (corneal inflammation e.g. from HSV).
Acute angle-closure glaucoma.
Uveitis
Endophthalmitis
Optic neuritis
Trauma
Giant Cell Arteritis
Factitious
Somatization Syndrome
Conjunctivitis (blurry)

 

Thining through the Differential Diagnosis

Keratitis produces a sharp superficial pain.
Acute glaucoma produces a deep brow ache with nausea and vomiting.
Endophthalmitis and certain uveitic conditions may also produce a deep boring pain.
Optic neuritis produces pain worse with eye movement.

Other causes of vision loss are typically painless.

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