Overview
Optic neuritis usually causes vision loss in one eye over hours to days, pain with eye movement, dim or faded colors, and changes in how the pupil reacts to light. It's most common in young adults, especially women.
It can be the first sign of multiple sclerosis. Vision often returns to normal within 2 to 3 weeks. Other causes of sudden blurry vision in one eye include a retinal detachment, a blocked blood vessel in the eye, and stroke.
When to get medical care
Causes
Causes include optic neuritis (often linked to multiple sclerosis or other autoimmune conditions), uveitis, retinal detachment, blocked retinal artery or vein, giant cell arteritis, migraine, infections like syphilis, Lyme disease, and shingles, and, less often, tumors pressing on the optic nerve.
OwieClear has pages on 3 conditions that can cause blurry vision in one eye or pain moving the eye. Each shows how soon to get care.
Common causes
- Optic neuritis (inflamed optic nerve)Often needs care today
Inflammation of the nerve that connects the eye to the brain.
- Multiple sclerosis (MS)See a doctor if it doesn't get better
A condition where the immune system damages the coating around nerves in the brain and spinal cord.
- Neuromyelitis optica (NMOSD or MOGAD)May need emergency care
An autoimmune disease that attacks the optic nerves and spinal cord.
What you can do at home
- Get checked the same day.
- Don't drive until your vision is checked.
- Keep follow-up visits and report any new symptoms.
Medicines
Optic neuritis may be treated with IV steroids, which can speed recovery. If tests suggest multiple sclerosis, other treatments may be started. Other causes are treated based on what's found.
At the doctor
The provider will check your vision and optic nerve and look for related conditions.
Questions you may be asked
- When the vision change started
- Pain with eye movement
- Color vision changes
- Numbness, tingling, or weakness
- Past episodes
The exam
A full eye exam with pupil testing and a dilated exam.
Tests
- Vision and color vision tests
- Visual field testing
- An MRI of the brain and optic nerves
- Blood tests for related conditions
Prevention
Most causes can't be prevented, but early care protects vision.
- Get sudden vision changes checked right away
- Keep follow-up visits
Check your symptoms
Most symptoms have more than one possible cause. The symptom checker looks at all of your symptoms together, plus your age, and shows how soon to get care.
Sources
Last updated 2026-11-13.