In this episode, we unpack the urgent and often overlooked causes of binocular painful vision loss that comes on suddenly or lasts briefly. We explore how conditions like migraine, malignant hypertension, and raised intracranial pressure can present with bilateral symptoms and significant visual changes. Learn to recognize the red flags, understand the pathophysiology behind papilledema and transient visual obscurations, and know when to escalate for neuroimaging or systemic evaluation. Whether you’re studying for exams or seeing patients, this is essential listening for safe and swift diagnosis.