How can you tell these apart?

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You could add AION to your list 😛

not my favorite speciality at all, nevertheless I'd say:

atrophy is more chronic (so no "sudden vision loss"), is also hallmark of glaucoma (family? eye pressure?) and increased cup-to-disk ratio

(retrobulbar)neuritis is associated with change in color perception

infarction should be seen with funduscopy (pale retina with red spot vs stormy one), while neuritis may be and and retrobulbar neuritis should not be seen.

papilledema could be associated with brain mass effect or hydrocephalus or ...

So I'd suggest after careful history:
1) physical (especially funduscopy and RAPD)
2) blood test (esp. ESR)
3) MRI of head (and spine if suspicion of multiple sclerosis)
 
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